| Radiolunate fusion using vascularized radius bridging graft for the treatment of advanced Kienböck disease: two cases report. | |
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MedLine Citation:
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PMID: 20672406 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We present here two cases wherein we performed radiolunate fusion using vascularized radius graft with the vascular pedicle of the fourth extensor compartment artery (fourth ECA) for the treatment of Bain's grade 2A Kienböck disease with incongruity of the radiolunate joint. The dorsodistal radius graft was levered out and mobilized on the pedicle of the fourth ECA; then the vascularized dorsodistal radius was shifted 1 cm distally and bridges were created between the radius and the lunate. The radiolunate joint was completely fused in both cases at three months after surgery. The capitolunate joint maintained congruity after surgery. The Mayo wrist score was 75 points, and the DASH (JSSH version) score for the two cases was 2.5 and 4.2 points, respectively. Radiolunate fusion using the vascularized radius bridging procedure is one of the satisfactory methods for treating advanced Kienböck disease, especially in Bain's grade 2A cases. |
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Authors:
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H Ono; K Furuta; R Fujitani |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand Volume: 15 ISSN: 1793-6535 ISO Abbreviation: Hand Surg Publication Date: 2010 |
Date Detail:
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Created Date: 2010-07-30 Completed Date: 2010-11-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9602613 Medline TA: Hand Surg Country: Singapore |
Other Details:
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Languages: eng Pagination: 139-44 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, Kokuho Central Hospital, 404-1 Miyako, Tawaramoto, Shiki-gun, Nara 636-0302, Japan. onokota@kinet-tv.ne.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Arthrodesis / methods* Bone Transplantation / methods* Humans Lunate Bone / radiography, surgery* Male Middle Aged Osteonecrosis / radiography, surgery* Radius / radiography, surgery* |
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