Operative technique of a new decompression procedure for Kienböck disease: partial capitate shortening

Techniques in Hand & Upper Extremity Surgery
Hisao MoritomoHideki Yoshikawa

Abstract

A new decompression procedure for Kienböck disease, namely "partial capitate shortening," was developed. Patients in Lichtman stages 2 and 3A, independent of the ulnar variance, are candidates for this procedure. This procedure can dramatically reduce compressive forces on the lunate almost as much as a traditional decompression procedure of the capitate (capitate shortening combined with capitate-hamate fusion) and much more than the decompression procedure of the forearm bone such as radial shortening. We surmise that our procedure will allow better lunate revascularization. Although the scaphoid progressively adopts an abnormal palmarflexed position after capitate shortening combined with capitate-hamate fusion, partial capitate shortening can maintain normal carpal alignment, resulting in better joint congruency around the scaphoid and range of motion of the wrist. Moreover, partial capitate shortening allows minimal invasion and is an easy technique without bone grafting. Both operating and immobilizing time are shortened, and there are no secondary problems in the distal radioulnar and/or ulnocarpal joint often seen after radial osteotomy procedures.

References

Nov 1, 1990·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·J C Semple
Nov 1, 1996·The Journal of Hand Surgery·M J RittJ M Kauer
Oct 21, 2000·The Journal of Hand Surgery·H MoritomoR M Patterson
Oct 21, 2000·The Journal of Hand Surgery·H MoritomoR M Patterson
Sep 26, 2003·The Journal of Hand Surgery·Hisao MoritomoHideki Yoshikawa

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Citations

Jan 16, 2014·Hand : Official Journal of the American Association for Hand Surgery·Adi WollsteinRonit Wollstein
Oct 16, 2012·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Toshiyuki KataokaMitsuhiro Aoki
Nov 30, 2014·The Journal of Hand Surgery, European Volume·A CitlakM Sener
Feb 28, 2020·The Journal of Hand Surgery, European Volume·Abdurrahman Murat YıldırımMuhittin Sener
Mar 21, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Dana Rioux-Forker, Alexander Y Shin
Jul 22, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Dana Rioux-Forker, Alexander Y Shin
Dec 15, 2020·Hand Surgery and Rehabilitation·E J CamusF Schuind
Dec 1, 2010·The Journal of Hand Surgery·Ahmadreza Afshar

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