scholarly journals Vascularized Bone Graft to the Lunate Combined with Shortening of the Capitate and Radius for Treatment of Advanced Kienböck Disease After a Follow-Up for More Than 10 Years

2020 ◽  
Vol 2 (2) ◽  
pp. 102-108
Author(s):  
Ryosuke Kakinoki ◽  
Haruhiko Nishichi ◽  
Ryosuke Ikeguchi ◽  
Souichi Ohta ◽  
Kazuhiro Otani ◽  
...  
Keyword(s):  
Bone Graft ◽  
Vascularized Bone Graft ◽  
Kienböck Disease ◽  
Vascularized Bone

Reconstruction of posttraumatic long bone defect with free vascularized bone graft: Good outcome in 48 patients with 6 years' follow-up

2001 ◽  
Vol 72 (4) ◽  
pp. 359-364 ◽  
Author(s):  
Yuan-Kun Tu ◽  
Cheng-Yo Yen ◽  
Wen-Lin Yeh ◽  
I-Chun Wang ◽  
Kun-Chang Wang ◽  
...  
Keyword(s):  
Bone Graft ◽  
Bone Defect ◽  
Long Bone ◽  
Vascularized Bone Graft ◽  
Good Outcome ◽  
Long Bone Defect ◽  
Vascularized Bone

Scaphoid Nonunion: Treatment with a Pedicled Vascularized Bone Graft Based on the 1,2 Intercompartmental Supraretinacular Branch of the Radial Artery

2002 ◽  
Vol 27 (5) ◽  
pp. 413-416 ◽  
Author(s):  
R. G. STRAW ◽  
T. R. C. DAVIS ◽  
J. J. DIAS
Keyword(s):  
Bone Graft ◽  
Bone Grafting ◽  
Scaphoid Fracture ◽  
Vascularized Bone Graft ◽  
Scaphoid Nonunion ◽  
Proximal Pole ◽  
Union Rate ◽  
Fracture Nonunions ◽  
Vascularized Bone

Pedicled vascularized bone grafts (Zaidemberg’s technique) were used to treat 22 established scaphoid fracture nonunions, 16 of which were found to have avascular proximal poles at surgery. After a follow-up of 1–3 years, only six (27%) of the 22 fracture nonunions had united. Only two of the 16 nonunions with avascular proximal poles united, compared with four of the six nonunions with vascular proximal poles. We conclude that this technique of pedicled vascularized bone grafting may not improve the union rate for scaphoid fracture nonunions with avascular proximal pole fragments.

The treatment of Kienböck disease with vascularized bone graft from dorsal radius

2008 ◽  
Vol 129 (2) ◽  
pp. 171-175 ◽  
Author(s):  
Taçkin Özalp ◽  
Huseyin Serhat Yercan ◽  
Guvenir Okçu
Keyword(s):  
Bone Graft ◽  
Vascularized Bone Graft ◽  
Kienböck Disease ◽  
Vascularized Bone

Long-Term Results of Vascularized Bone Graft for Stage III Kienböck Disease

2013 ◽  
Vol 38 (5) ◽  
pp. 904-908 ◽  
Author(s):  
Hiroyoshi Fujiwara ◽  
Ryo Oda ◽  
Shinsuke Morisaki ◽  
Kazuya Ikoma ◽  
Toshikazu Kubo
Keyword(s):  
Bone Graft ◽  
Stage Iii ◽  
Long Term Results ◽  
Vascularized Bone Graft ◽  
Kienböck Disease ◽  
Vascularized Bone

Is Joint Levelling Procedure Better than Temporary Scaphocapitate Pinning in Patients Undergoing Vascularized Bone Graft for Kienböck Disease?

2019 ◽  
Vol 24 (04) ◽  
pp. 428-434
Author(s):  
Hyoung Seok Jung ◽  
Ho Won Lee ◽  
Min Jong Park
Keyword(s):  
Visual Analogue Scale ◽  
Bone Graft ◽  
Analogue Scale ◽  
Vascularized Bone Graft ◽  
Plain Radiographs ◽  
Clinical Evaluations ◽  
Shortening Osteotomy ◽  
Kienböck Disease ◽  
Vascularized Bone ◽  
Better Than

Background: Although there have been many studies of the vascularized bone graft (VBG) or unloading procedures alone for the treatment of Kienböck disease, little information has been reported about patients treated with VBG combined with unloading procedures. The purpose of this study is to 1) describe the outcomes in patients treated with VBG combined with unloading procedures, 2) compare the outcomes according to the unloading procedures and 3) find any radiologic parameters affecting revascularization in Kienböck disease. Methods: A retrospective review was performed involving in 20 patients undergoing 4th and 5th extensor compartmental VBG with unloading procedures for Kienböck disease from 2010–2015. After VBG in all patients, unloading procedures were additionally performed depending on the ulnar variance. These additional operations included joint leveling procedures (radial and capitate shortening osteotomy) or temporary scaphocapitate pinning. Radiologic outcome was evaluated according to Lichtman stage and presence of revascularization evidence. Clinical evaluations included wrist range of motion, grip strength, visual analogue scale (VAS), and Mayo wrist score. Results: VBG with joint leveling procedures was performed in 11 patients (5 radial shortening and 6 capitate shortening) and VBG with temporary scaphocapitate pinning was performed in 9 patients. Although clinical outcomes were not significantly different according to the unloading procedures, there were significantly more patients with evidence of healing of osteonecrosis on radiographs in joint leveling procedure group than temporary scaphocapitate pinning group. Overall, evidence of healing of osteonecrosis was found on plain radiographs in 11 patients and was not found in 9 patients. However, there were no significant preoperative radiological parameters affecting revascularization on radiographs. Conclusions: Not all patients had evidence of revascularization on radiography after VBG combined with unloading procedures for Kienböck disease. However, among the unloading procedures, joint-leveling procedures positively influenced the revascularization process.

Vascularized Bone Graft from the Palmar Carpal Artery for Treatment of Scaphoid Nonunion

1998 ◽  
Vol 23 (3) ◽  
pp. 318-323 ◽  
Author(s):  
C. MATHOULIN ◽  
M. HAERLE
Keyword(s):  
Bone Graft ◽  
Distal Radius ◽  
Vascularized Bone Graft ◽  
Scaphoid Nonunion ◽  
Ulnar Aspect ◽  
Vascularized Bone

We report the use of a bone graft harvested from the palmar and ulnar aspect of the distal radius and vascularized by the palmar carpal artery for the treatment of scaphoid nonunion in 17 patients, ten of whom had already had unsuccessful surgery. Union was obtained in all cases at an average of 60 days (range, 45–90 days). The average follow-up was 16 months (range, 12–36 months). There were no failures.

Lunate Revascularization With Temporary Internal Radiocarpal Spanning Fixation for Kienböck Disease

Hand ◽  
2021 ◽  
pp. 155894472110068
Author(s):  
Luke T. Nicholson ◽  
Tyler S. Pidgeon ◽  
Alexander Lauder ◽  
Ignacio Rellan ◽  
Marc J. Richard ◽  
...  
Keyword(s):  
Bone Grafting ◽  
Pain Scale ◽  
Visual Analogue Pain Scale ◽  
Vascularized Bone Graft ◽  
Proximal Row Carpectomy ◽  
Visual Analogue Pain ◽  
Kienböck Disease ◽  
Extensor Compartment ◽  
Vascularized Bone

Background The goal in the treatment of stages II and III Kienböck disease is to restore lunate vascularity and halt the progression of avascular necrosis. Methods We report the outcomes for patients with stages II and III Kienböck disease treated with fourth extensor compartment artery vascularized bone grafting and temporary radiocarpal spanning internal fixation. Nine patients with a mean age of 28.8 years were included. Mean clinical and radiographic follow-up were 4.9 and 1.9 years, respectively. Results Six patients had no change in Lichtman stage, 2 patients regressed 1 stage, and 1 patient progressed 1 stage. Mean postoperative quick disabilities of the arm, shoulder, and hand (QuickDASH) was 17.4. Mean postoperative visual analogue pain scale (VAS) was 1.8. Patients under age 25 trended toward improved clinical outcomes compared with patients over age 25. Two patients, aged 33 and 65, underwent proximal row carpectomy at a mean 30.5 months postoperatively. Conclusions In conclusion, the use of local vascularized bone graft with temporary internal radiocarpal spanning fixation provides a treatment option with outcomes comparable to existing literature with benefits inherent to internal immobilization.

scholarly journals The Fourth Extensor Compartment Artery Vascularized Bone Graft of the Distal Radius for CMC Fusion in the Treatment of Carpal Boss: A Case Report

Hand ◽  
2016 ◽  
Vol 12 (5) ◽  
pp. NP88-NP91 ◽  
Author(s):  
Jorge G. Boretto ◽  
David Fernandez-Fernandez ◽  
Gerardo Gallucci ◽  
Pablo De Carli
Keyword(s):  
Bone Graft ◽  
Distal Radius ◽  
Bone Grafts ◽  
Vascularized Bone Graft ◽  
Daily Life Activities ◽  
Carpometacarpal Joints ◽  
Effective Treatment Modality ◽  
Kienböck Disease ◽  
Extensor Compartment ◽  
Vascularized Bone

Background: Carpometacarpal joints can be affected by traumatic or degenerative pathology. Although different techniques have been described to treat these conditions, most authors agree that arthrodesis is an effective treatment modality. Vascularized bone grafts of the distal radius have been used to treat carpal conditions, such as scaphoid nonunion or Kiënbock disease, and they have been shown to have several advantages over nonvascularized bone grafts. Methods: We report a case of a carpal boss in a female patient treated with an arthrodesis of the second and third carpometacarpal joints by using the fourth extensor compartment artery vascularized bone graft. Results: At 6 weeks postoperative bone union was achieved. At 2 years follow-up the patient was able to perform daily life activities without pain. Conclusions: The fourth ECA VBG with reverse blood flow from the dorsal intercarpal arch allowed the graft to reach the CMC. A solid fusion was obtained at 6 weeks due to the biological advantage of the VBG.

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