Treatment of Advanced Kienböck Disease With a Vascularized Radial Bone Flap Wrapped in the Pronator Quadratus

Conclusion: We suggest that the excision of the lunate and insertion of a vascularized radial bone flap wrapped in the pronator quadratus, followed by distraction with an external fixator of the joint, is a reliable method for the treatment of Kienböck disease with collapse or fragmentation of the lunate, and achieves high functional scores, increased range of movement, and relief of pain, without any complications.
Source: Annals of Plastic Surgery - Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research