- Indications:
- indications for radial shortening must be strict;
- no significant collapse or fragmentation of lunate is present;
- there should be some distal radioulnar discrepancy;
- Technique:
- use radiovolar approach;
- six-hole compression plate is measured;
- 2 screws are placed distally, & radius is marked for rotation alignment;
- appropriate amount of the radius is removed to balance height w/ ulna;
- compression plate is reapplied distally and proximally;
- 8 weeks of immobilization in a short-arm splint is sufficient
Radial shortening for Kienbock disease