Kienböck's disease: preventing disease progression in early-stage disease.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 13. Hand Clin. 2022 Nov;38(4):435-446. doi: 10.1016/j.hcl.2022.03.007. Vascularized Bone Flaps for the Treatment of Kienböck Disease. Florczynski MM(1), Chung KC(2). Author information: (1)Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MI, USA. (2)Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MI, USA; Comprehensive Hand Center Michigan Medicine, 2130 Taubman Center, SPC 5340, 1500 E. Medical Center Drive, Ann Arbor, MI 48109-5340, USA. Electronic address: kecchung@umich.edu. Of the many treatments for Kienböck disease, only lunate revascularization procedures provide a direct mechanism for reversing the process of osteonecrosis. Owing to the redundant blood supply of the distal radius and carpus, pedicled flaps are versatile solutions for patients with bone loss but intact cartilage. With the advent of free vascularized flaps, the indications for lunate revascularization procedures are expanding. These flaps can be used when the articular cartilage has been compromised and are suitable options to restore native anatomy in patients previously thought to have unreconstructible disease. Copyright © 2022 Elsevier Inc. All rights reserved. DOI: 10.1016/j.hcl.2022.03.007