Revascularization of lunate with volar vascularized bone graft and radius osteotomy as treatment of Kienböck’s disease
Epublication WebSurg.com, Mar 2011;11(03). URL: http://websurg.com/doi/vd01en3040
Kienbock's disease has mysterious origins. A review of the literature suggests that excessive pressure exerted by a too long radius is the most commonly accepted etiology. The shortening of the radius becomes the most conventional technique. We add to this conventional technique, by the same incision, a curettage of the necrotic bone into the lunate and its replacement by a graft vascularized by the volar carpal artery harvested from the volar aspect of the distal radius.