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J Hand Microsurg 2018; 10(03): 146-149
DOI: 10.1055/s-0038-1630144
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Lunate Reconstruction Using Osteochondral Vascularized Graft in Kienböck’s Disease

Òscar Izquierdo
1   Upper Limb and Microsurgery Unit, Orthopaedics Department, Parc Sanitari Sant Joan de Déu de Sant Boi de Llobregat, Barcelona
,
Pilar Aparicio
1   Upper Limb and Microsurgery Unit, Orthopaedics Department, Parc Sanitari Sant Joan de Déu de Sant Boi de Llobregat, Barcelona
,
Enric Domínguez
1   Upper Limb and Microsurgery Unit, Orthopaedics Department, Parc Sanitari Sant Joan de Déu de Sant Boi de Llobregat, Barcelona
,
Juan Castellanos
1   Upper Limb and Microsurgery Unit, Orthopaedics Department, Parc Sanitari Sant Joan de Déu de Sant Boi de Llobregat, Barcelona
› Author Affiliations
Further Information

Publication History

Received: 16 November 2017

Accepted after revision: 04 January 2018

Publication Date:
20 March 2018 (online)

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Abstract

There is a general consensus that the pathogenesis for Kienböck’s disease remains uncertain, though it is probably related to nonphysiologic stress transmission across the lunate, acting in concert with one of several possible vascular abnormalities. Most surgical treatments focus on mechanical aspects rather than real physiopathology, but in the recent years several articles have shown the utility of vascularized grafts in the treatment of Kienböck’s disease, especially in its early stages. The authors present a case of a successfully reconstruction of a IIIA stage Kienböck’s disease with an osteochondral vascularized graft from medial femoral condyle.

Keywords

Kienböck’s disease - lunate morphology - medial femoral condyle - osteochondral vascularized graft - microsurgery
 

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