- indications for radial shortening must be strict;
- no significant collapse or fragmentation of lunate is present;
- there should be some distal radioulnar discrepancy;
- use radiovolar approach;
- six-hole compression plate is measured;
- 2 screws are placed distally, & radius is marked for rotation alignment;
- appropriate amount of the radius is removed to balance height w/ ulna;
- compression plate is reapplied distally and proximally;
- 8 weeks of immobilization in a short-arm splint is sufficient
Radial shortening for Kienbock disease
Radial wedge osteotomy for Kienbock disease.
Radial closing wedge osteotomy for Kienbock's disease.
Original Text by Clifford R. Wheeless, III, MD.
Last updated by Data Trace Staff on Thursday, April 12, 2012 1:44 pm