Vascularized Bone Flaps for the Treatment of Kienb öck Disease

Of the many treatments for Kienb öck 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.

Source: Hand Clinics - October 14, 2022 Category: Orthopaedics Authors: Matthew M. Florczynski, Kevin C. Chung Source Type: research