Vascularised bone graft and osteotomy of the radius in Kienböck's disease.
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.
Zafra
Manuel
M
Orthopaedic Department, University Hospital Reina Sofia, Avenue Menendez Pidal S/N, 14004 Cordoba, Spain.
Carrasco-Becerra
Carmen
C
Carpintero
Pedro
P
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*