Staff Members - Benha University
Partial capitate shortening osteotomy in management of Kienböck’s disease
Current orthopaedic practice • 2016
Publication Information
Authors
Mohamed S Singer, Osama M Essawy, Hosam E Farag
Keywords
capitate, Kienböck, osteotomy
Journal
Current orthopaedic practice
Publisher
Not Available
Volume
Not Available
Issue
Not Available
Pages
Not Available
publication.type
International
Paper Link
Not Available
Supplementary Materials
Not Available
Abstract
Background:
Capitate shortening is the best decompression procedure in management of
Kienböck's disease in ulna neutral or positive patients, although carpal collapse
develop inevitably. The purpose of this study was to report our experience in partial
capitate shortening osteotomy as an alternative procedure.
METHODS:
Prospective study of 20 patients with Lichtman stage II and IIIa Kienböck's disease,
managed by partial capitate shortening osteotomy.
RESULTS:
At final follow up (average 24.5 months), VAS for Pain improved significantly
postoperatively to 3.3. Flexion and extension improved from 62% (±17) and 52% (±21)
preoperatively to 63% (±13%) and 68% (±13) postoperatively respectively. The power
grip improved significantly from 49% (±16) to 63% (±12) postoperatively. The average
quick DASH Score improved from 60.8(±13.8) to 38.3(±13.9) postoperatively.
CONCLUSIONS:
Partial capitate shortening is a simple and effective procedure for the treatment of ulnar
neutral or ulnar positive Kienböck's disease prior to the onset of radiocarpal arthrosis
without violation of scaphocapitate joint thus avoiding carpal collapse that follow
complete capitate shortening.
Capitate shortening is the best decompression procedure in management of
Kienböck's disease in ulna neutral or positive patients, although carpal collapse
develop inevitably. The purpose of this study was to report our experience in partial
capitate shortening osteotomy as an alternative procedure.
METHODS:
Prospective study of 20 patients with Lichtman stage II and IIIa Kienböck's disease,
managed by partial capitate shortening osteotomy.
RESULTS:
At final follow up (average 24.5 months), VAS for Pain improved significantly
postoperatively to 3.3. Flexion and extension improved from 62% (±17) and 52% (±21)
preoperatively to 63% (±13%) and 68% (±13) postoperatively respectively. The power
grip improved significantly from 49% (±16) to 63% (±12) postoperatively. The average
quick DASH Score improved from 60.8(±13.8) to 38.3(±13.9) postoperatively.
CONCLUSIONS:
Partial capitate shortening is a simple and effective procedure for the treatment of ulnar
neutral or ulnar positive Kienböck's disease prior to the onset of radiocarpal arthrosis
without violation of scaphocapitate joint thus avoiding carpal collapse that follow
complete capitate shortening.