Treatment of progressive necrosis of the lunate bone (Kienböck disease) after unsuccessful radial osteotomy

Authors: Kakinoki, Ryosuke; Yamakawa, Tomoyuki; Nakayama, Ken; Morimoto, Yoshihide; Nakamura, Takashi

Source: Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, Volume 41, Number 5, 2007 , pp. 267-271(5)

Publisher: Informa Healthcare

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Abstract:

We report the treatment of three patients with stage 3 Kienböck disease that had advanced after radial shortening (n=2) or lateral wedge osteotomy (n=1). We shortened the capitate and fused the capitate and hamate, and applied a vascularised bone graft taken from the distal dorsal radius to the lunate. This was successful in all three patients.

Keywords: Kienböck disease; radial shortening; wedge osteotomy of the radius; capitate shortening; vascularized bone graft

Document Type: Research article

DOI: http://dx.doi.org/10.1080/02844310600759657

Affiliations: 1: Department of Orthopedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan

Publication date: 2007-01-01

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