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SAS Journal of Surgery | Volume-9 | Issue-03
Surgical Treatment of Kienböck's Disease by Shortening Osteotomy: Case Series and Review of Literature
Yassine Ben Bouzid, Rhita Salah, Mohammed Benchekroun
Published: March 15, 2023 | 89 83
DOI: 10.36347/sasjs.2023.v09i03.003
Pages: 152-158
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Abstract
Introduction: Kienböck's disease is a rare condition. It most often affects young, manual workers. Imagery is used to diagnose and classify the disease using the Decoulx classification which will guide the therapeutic decision. The aim of the present work is to review the clinical data, the diagnostic methods and our therapeutic results compared with the literature. Material and Methods: This is a retrospective study of four cases of Kienböck's disease, collected in the Traumatology-Orthopedics Department of the Mohamed V Military Instruction Hospital in Rabat, over an twenty-year period, from March 2002 to October 2022. Results: The series includes eight men and two women, with an average age of 35 and a half years. Pain and decreased mobility were present in all our patients. All of our patients had a radiological workup that allowed the diagnosis six of our patients were in stage II of the disease, three in stage IIIa and one in stage IIIb. All our patients benefited from a shortening of the radius with a good evolution and a return to activities. Discussion: By comparing the results of our study with those of the literature, we found a clear concordance concerning the clinical, imaging and therapeutic means. Conclusion: Kienböck's disease is a rare disease that should be diagnosed at the early stage to prevent its evolution.