Lunate Revascularization With Artery Implantation and Bone Grafting

Treatment of Kienböck's disease encompasses a wide array of options. Proper staging is the first step to successful treatment. Revascularization of the lunate remains a viable option for the treatment of Lichtman stage II or IIIA Kienböck's disease. In this article, we review the indicatio...

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Veröffentlicht in:	The Journal of hand surgery (American ed.) 2009, Vol.34 (1), p.155-160
Hauptverfasser:	Simmons, Sara P., MD, Tobias, Brian, DO, Lichtman, David M., MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Biological and medical sciences Bone Transplantation - methods Diseases of the osteoarticular system Hori Humans Kienböck's disease lunate Lunate Bone - blood supply Lunate Bone - pathology Lunate Bone - surgery Medical sciences Orthopedics Osteonecrosis - surgery Postoperative Care Radius - blood supply Radius - transplantation revascularization Vascular bone diseases
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Beschreibung
Zusammenfassung:	Treatment of Kienböck's disease encompasses a wide array of options. Proper staging is the first step to successful treatment. Revascularization of the lunate remains a viable option for the treatment of Lichtman stage II or IIIA Kienböck's disease. In this article, we review the indications for and the surgical technique used with a modified Hori procedure (vascular pedicle insertion with structural distal radius graft) for revascularization of the lunate.
ISSN:	0363-5023 1531-6564
DOI:	10.1016/j.jhsa.2008.10.015