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Distal Radius Osteotomy With Intramedullary Fixation for the Treatment of Kienbock Disease

Tan, Virak MD; Paiste, Mark Ronald DO

Techniques in Hand & Upper Extremity Surgery: September 2012 - Volume 16 - Issue 3 - p 153–158
doi: 10.1097/BTH.0b013e31825c79b9
Techniques

Symptomatic Kienbock disease with ulnar-negative variance is commonly treated with a distal radius shortening osteotomy. Traditionally, the osteotomy is stabilized using dorsal or volar plating. Use of an intramedullary implant to stabilize the osteotomy in the treatment of this condition is demonstrated in this article. In addition to changing the mechanical loading through the lunate, the technique also allows for core decompression the distal radial metaphyseal bone that may further help in restoring the vascularity to the lunate. The authors believe that this technique is a valuable method that demonstrates both clinical and technical improvements in the treatment of Kienbock disease.

Department of Orthopedics, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, NJ

Source of Funding: No funding has been or will be received in support of this manuscript.

Conflicts of Interest: Dr Tan is a consultant and receives royalties from Wright Medical Techology, Inc. Dr Paiste has no conflict of interest.

Address correspondence and reprint requests to Virak Tan, MD, Department of Orthopedics, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, 140 Bergen St., ACC D1626, Newark, NJ 07103. E-mail: tanvi@umdnj.edu.

© 2012 Lippincott Williams & Wilkins, Inc.