Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Sign In to gain access to subscriptions and/or personal tools.
Journal of Hand Surgery (British and European Volume)
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by GABL, M.
Right arrow Articles by RIEGER, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by GABL, M.
Right arrow Articles by RIEGER, M.
Right arrowPubmed/NCBI databases
Medline Plus Health Information
*Bone Grafts
*Fractures
*Osteonecrosis
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Articles

Stage 3 KienbÖck’s Disease: Reconstruction of the Fractured Lunate using a Free Vascularized Iliac Bone Graft and External Fixation

M. GABL
M. LUTZ
Cl. REINHART
R. ZIMMERMANN
S. PECHLANER
H. HUSSL
M. RIEGER

From the University Hospital of Traumatology, the University Hospital of Plastic and Reconstructive Surgery and the University Hospital of Radiology, Innsbruck, Austria

Correspondence: Dr. Markus Gabl, Universitätsklinik für Unfallchirurgie, Anichstrasse 35, A-6020 Innsbruck, Austria. E-mail: m.gabl{at}uibk.ac.at

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.

Journal of Hand Surgery (British and European Volume), Vol. 27, No. 4, 369-373 (2002)
DOI: 10.1054/jhsb.2002.0766
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?