title: Vascularised bone graft and osteotomy of the radius in Kienböck's disease.
abstract: Treatment of stage IIIA and III B avascular necrosis of the lunate bone remains controversial. We present a series of 5 cases in young patients treated with a vascularised bone graft from the second metacarpal, combined with a lateral shortening and closing wedge osteotomy of the radius. Good clinical and radiographic results were obtained and disease progression was halted with the combination of these two surgical procedures.
authors.affiliation: Orthopaedic Department, University Hospital Reina Sofia, Avenue Menendez Pidal S/N, 14004 Cordoba, Spain.
authors.forename: Manuel
authors.initials: M
authors.lastname: Zafra
authors.forename: Carmen
authors.initials: C
authors.lastname: Carrasco-Becerra
authors.forename: Pedro
authors.initials: P
authors.lastname: Carpintero
mesh_terms: D000293:Adolescent; D000328:Adult; D016025:Bone Transplantation; D005260:Female; D006801:Humans; D012667:Lunate Bone / Q000000981:diagnostic imaging; D008297:Male; D010020:Osteonecrosis / Q000000981:diagnostic imaging / Q000601:surgery*; D010027:Osteotomy; D011859:Radiography; D011884:Radius / Q000601:surgery*