The effect of radial shortening osteotomy and the level of osteotomy line on lunate vascularization in Kienbock's disease

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dc.contributor.authorcolak, Tahsin Sami
dc.date.accessioned2024-02-23T14:40:44Z
dc.date.available2024-02-23T14:40:44Z
dc.date.issued2022
dc.departmentNEÜen_US
dc.description.abstractAim: 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.en_US
dc.identifier.doi10.4328/ACAM.21372
dc.identifier.endpage96en_US
dc.identifier.issn2667-663X
dc.identifier.startpage93en_US
dc.identifier.urihttps://doi.org/10.4328/ACAM.21372
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16549
dc.identifier.volume13en_US
dc.identifier.wosWOS:000901799000007en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherBayrakol Medical Publisheren_US
dc.relation.ispartofAnnals Of Clinical And Analytical Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectKeinb?Ck?S Diseaseen_US
dc.subjectLunateen_US
dc.subjectRadial Shortening Osteotomyen_US
dc.subjectRevascularizationen_US
dc.titleThe effect of radial shortening osteotomy and the level of osteotomy line on lunate vascularization in Kienbock's diseaseen_US
dc.typeArticleen_US

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