{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T22:35:52Z","timestamp":1775082952788,"version":"3.50.1"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n               Background\u2003Negative ulnar variance is a recognized predisposing factor for Kienbock's disease (KD). Radial shortening osteotomy (RSO) reduces radial height, thereby alleviating stress on the lunate. Conversely, radial closed wedge osteotomy (RCWO) involves removing a distal radius wedge to not only decrease radial height but also reduce radial inclination, thereby enhancing lunate coverage.<\/jats:p><jats:p>\n               Description\u2003This article outlines a straightforward and minimally invasive approach to RSO utilizing a single cut and stabilization with a single screw. Additionally, it introduces a technique for RCWO comprising two cuts, wedge removal from the distal radius, and fixation using a single headless screw.<\/jats:p><jats:p>\n               Literature Review\u2003Traditionally, RSO and RCWO procedures include a volar approach consistent with distal radius fracture fixation techniques. However, the reliance on \u201cfree-hand\u201d cuts may necessitate larger hardware for stabilization. Overcorrection poses risks of suboptimal outcomes and often mandates subsequent hardware removal procedures.<\/jats:p><jats:p>\n               Clinical Relevance\u2003Both RSO and RCWO techniques offer minimally invasive solutions, which preserve the periosteum, and maintain stability. These techniques only require a single screw and a removable splint. RSO is indicated for KD wrists with negative ulnar variance, while RCWO is preferable for cases with negative ulnar variance and increased radial inclination.<\/jats:p>","DOI":"10.1055\/s-0044-1787540","type":"journal-article","created":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T18:44:33Z","timestamp":1724870673000},"page":"374-378","source":"Crossref","is-referenced-by-count":2,"title":["Distal Radius Osteotomies for Kienbock's Disease\u2014A Minimally Invasive Approach"],"prefix":"10.1055","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3258-996X","authenticated-orcid":false,"given":"Gregory I.","family":"Bain","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Flinders Medical Centre and Flinders University, Adelaide, South, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1744-4586","authenticated-orcid":false,"given":"Sathya","family":"Vamsi Krishna","sequence":"additional","affiliation":[{"name":"Hand Surgery Unit, Department of Orthopaedic, Trauma and Spine Surgery, Narayana Health City, Bangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3395-1991","authenticated-orcid":false,"given":"Simon","family":"MacLean","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Tauranga Hospital, Tauranga, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,8,28]]},"reference":[{"issue":"01","key":"ref1","first-page":"40","article-title":"Radial shortening for Kienb\u00f6ck's disease: factors affecting the operative result","volume":"15","author":"R Nakamura","year":"1990","journal-title":"J Hand Surg [Br]"},{"issue":"02","key":"ref2","first-page":"146","article-title":"Mid-term clinical outcome of radial shortening for Kienbock disease","volume":"20","author":"M H 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