The effect of radial shortening osteotomy and the level of osteotomy line on lunate vascularization in Kienbock's disease
Küçük Resim Yok
Tarih
2022
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Bayrakol Medical Publisher
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Aim: The aim of this study is to show the intraosseous changes in the vascularity of the lunate with magnetic resonance imaging (MRI) after radial shortening osteotomy (RSO), which is an extra-articular intervention, as well as the effect of the osteotomy level on the vascularity of the lunate.Material and Methods: Thirty-one patients with a diagnosis of Lichtman Stage II and IIIA Kienbock who underwent RSO were analyzed retrospectively. Among these patients, 17 patients who had both preoperative and postoperative MRIs were included in the study. The mean age of the patients was 34.2. (+/- 12.25) years. Lunate vascularity was evaluated with diffusion MRI before and after surgery. In addition, the effect of osteotomy level on the blood supply of the lunate was also examined.Results: It was observed that RSO had a positive effect on the vascularity of the lunate radiologically and clinically (94%). Especially in patients with osteotomy level between 20-24 mm, the increase in vascularity was more evident than in other patients.Discussion: In this study, although clinical improvement was detected in the majority of patients (94%) after RSO, only 58.9% of the patients showed increased vascularity of lunate, suggesting that the osteotomy level has an effective role in increasing the vascularity to the lunate.
Açıklama
Anahtar Kelimeler
Keinb?Ck?S Disease, Lunate, Radial Shortening Osteotomy, Revascularization
Kaynak
Annals Of Clinical And Analytical Medicine
WoS Q Değeri
Scopus Q Değeri
Cilt
13
