Keyhole Revascularization for Treatment of Coronal Plane Fracture of the Lunate in Kienböck Disease.
Coronal plane fracture of lunate in Kienböck disease is a challenging problem with no proven treatment. We present a technique for the treatment. A vascularized bone graft from the distal radius employing the fourth and fifth extracompartmental artery pedicles is used as a mechanical support in order to enable fracture union. The technical pearls and pitfalls are described and a clinical case is presented.
Pohjola Hospital, University of Tampere, Tampere, Finland.
Jouni
J
Havulinna
Department of Hand and Microsurgery, Tampere University Hospital, Tampere, Finland.
Jarkko
J
Jokihaara
Department of Hand and Microsurgery, Tampere University Hospital, Tampere, Finland.
Pasi
P
Paavilainen
Department of Hand and Microsurgery, Tampere University Hospital, Tampere, Finland; Medical School, University of Tampere, Tampere, Finland. Electronic address: olli.v.leppanen@uta.fi.
Olli V
OV
Leppänen
D016025:Bone Transplantation; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D012667:Lunate Bone / Q000098:blood supply / Q000293:injuries* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D019637:Orthopedic Procedures / Q000379:methods; D010020:Osteonecrosis / Q000150:complications*; D011884:Radius / Q000637:transplantation; D014057:Tomography, X-Ray Computed
Lichtman; Lunatummalacia; avascular necrosis; carpal bone