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Treatment of progressive necrosis of the lunate bone (Kienb
ck disease) after unsuccessful radial osteotomy
Authors:
Ryosuke Kakinoki a;
Tomoyuki Yamakawa a;
Ken Nakayama a;
Yoshihide Morimoto a;
Takashi Nakamura a
| Affiliation: | a Department of Orthopedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan |
DOI:
10.1080/02844310600759657
Publication Frequency:
6 issues per year
Published in:
Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery,
Volume
41,
Issue
5
2007
, pages 267
- 271
First Published:
2007
Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery,
Volume
41,
Issue
5
2007
, pages 267
- 271
Subject:
Plastic & Esthetic Surgery;
Formats available:
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(English)
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(English)
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Abstract
We report the treatment of three patients with stage 3 Kienb
 ck 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.
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Keywords:
Kienbck disease;
radial shortening;
wedge osteotomy of the radius;
capitate shortening;
vascularized bone graft
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