Vascularised bone graft for Kienböck disease: preliminary results.
We treated eight patients with lunatomalacia by harvesting a pedicled, vascularised bone segment from the dorsal aspect of the distal radius and grafting it into the lunate. Its effect on carpal collapse and clinical outcome was assessed at a mean follow-up of 29 months (range 13-42). Postoperatively patients had considerably less pain (45% during activity and 74% at rest). Postoperative mean range of movement was 65% (range 43%-76%) (SD: 13) of the unaffected side. Three patients had an excellent result, three had good results, one had a fair result, and one patient was unsatisfied. The mean postoperative disabilities of the arm, shoulder, and hand score was 29.8 (compared with 40.0 preoperatively).
Hermans
Stijn
S
Department of Orthopedic Surgery, U.Z. Pellenberg, Lubbeek, Pellenberg, Belgium.
Degreef
Ilse
I
De Smet
Luc
L
D016025:Bone Transplantation; D002348:Carpal Bones / Q000098:blood supply / Q000601:surgery*; D005260:Female; D018737:Hand Strength; D006801:Humans; D008297:Male; D010020:Osteonecrosis / Q000601:surgery*; D010147:Pain Measurement; D017060:Patient Satisfaction; D011884:Radius / Q000637:transplantation*; D020127:Recovery of Function; D016896:Treatment Outcome