Stage 3 KienbÖck’s Disease: Reconstruction of the Fractured Lunate using a Free Vascularized Iliac Bone Graft and External Fixation
| Autor: | M. Lutz, Markus Gabl, H. Hussl, R. Zimmermann, Cl. Reinhart, Michael Rieger, Sigurd Pechlaner |
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| Rok vydání: | 2002 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Time Factors Adolescent External Fixators Bone disease medicine.medical_treatment Free flap Wrist Iliac crest Ilium Fractures Bone External fixation Fracture Fixation Outcome Assessment Health Care Humans Medicine Lunate Bone Prospective Studies Transplantation Bone Transplantation business.industry Osteonecrosis Lunate bone Recovery of Function medicine.disease Surgery Lunate medicine.anatomical_structure Female Kienböck's disease business Follow-Up Studies |
| Zdroj: | Journal of Hand Surgery. 27:369-373 |
| ISSN: | 0266-7681 |
| DOI: | 10.1054/jhsb.2002.0766 |
| Popis: | Eighteen patients with stage 3 Kienböck’s disease were treated by débridement of the necrotic core of the lunate and implantation of a free vascularized corticocancellous iliac bone. The wrist was stabilized with an external fixator during healing. The efficiency of the procedure for restoring the structure of the fractured lunate, preventing carpal collapse and improving the clinical outcome was assessed at a mean follow-up of 5 years. The graft became incorporated in the lunate in 16 of the 18 patients and no fracture of the reconstructed lunate or carpal collapse occurred in these cases. The graft did not integrate and was resorbed in the other two patients. |
| Databáze: | OpenAIRE |
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