During a five-year period (1992-1996) a total of 21 patients with aseptic necroses of os lunatum (morbus Kienbock) and os scaphoideum (morbus Praisser) were treated. Five male patients with morbus Kienbock and ulna negative variance, at a mean age of 29 years, underwent surgical treatment with shortening of the radius. The author argued in favour of radial shortening rather than of ulnar lengthening. Oblique osteotomy with radial shortening with volar access was considered the most appropriate surgical method. It demonstrated several advantages related with bone union and proximal carpal row decompression and we had excellent postoperative results.
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