Treatment of progressive necrosis of the lunate bone (Kienböck disease) after unsuccessful radial osteotomy.
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.
Kakinoki
Ryosuke
R
Department of Orthopedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan. kakinoki@kuhp.kyoto-u.ac.jp
Yamakawa
Tomoyuki
T
Nakayama
Ken
K
Morimoto
Yoshihide
Y
Nakamura
Takashi
T
D000328:Adult; D001174:Arthrodesis; D016025:Bone Transplantation; D051224:Capitate Bone / Q000601:surgery; D019299:Decompression, Surgical; D005260:Female; D051225:Hamate Bone / Q000601:surgery; D006801:Humans; D012667:Lunate Bone / Q000098:blood supply / Q000473:pathology* / Q000601:surgery*; D008297:Male; D010020:Osteonecrosis / Q000601:surgery*; D010027:Osteotomy; D011884:Radius / Q000098:blood supply / Q000601:surgery*; D017211:Treatment Failure