INTRODUCTION: @entity195 is rare in @entity1 with a neutral or positive ulnar variance. In these situations, treatment is challenging and controversial.Various intracarpal shortening osteotomy (ICSO) procedures have been proposed. OBJECTIVE: Study the effect of the type of ICSO (isolated capitate osteotomy or combined with hamate osteotomy) on the clinical and radiological outcomes in a retrospective series. METHODS: @entity1 with @entity195 were treated with ICSO. A dorsal approach centered over the capitate was used. The transverse osteotomy was located 5mm below the capitate's proximal chondral boundary. The osteotomy cut was 2mm thick. In some @entity1 , a hamate osteotomy was done at the same level as that of the capitate. The osteotomy site was fixed with staples. Cases were classified as with or without a vascularized bone graft was added to the ICSO. RESULTS: There were 28 cases and the average follow-up was 43 months. Three @entity1 required surgical revision. @entity158 relief at rest was achieved in all @entity1 . The flexion/extension range of motion was 84  . Strength was 75% of the opposite side. The mean QuickDASH was 32.5 and the PRWE was 30.2. Isolated capitate osteotomy resulted in better satisfaction and improved ulnar/radial deviation and flexion range of motion. There was no difference in terms of @entity158 , strength and functional scores. However, it triggered a significant increase in the radioscaphoid angle. Adding a vascularized bone graft did not impact the outcomes. DISCUSSION: Isolated capitate osteotomy provides better outcomes than combined capitate/hamate osteotomy (satisfaction and wrist range of motion) and should be done as the primary procedure. However, since it increases the radioscaphoid angle more than combined capitate/hamate osteotomy, the latter procedure should be used when a largeradioscaphoid angle exists preoperatively. We found no benefit of using a vascularized graft. LEVEL OF EVIDENCE: IV.

Intracarpal shortening osteotomy for XXXX : A retrospective study of 28 cases.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Pain', 'pain'] @entity195 :: ('MESH:D000544', 'Disease') :: ["Kienb  ck's disease"]
@entity195 :: (MESH:D000544,Disease) :: ['Kienb  ck's disease']
