TREATMENT OF STAGE II KIENBOCK’S DISEASE WITH VASCULARIZED DORSAL RADIUS BONE GRAFT- A CASE REPORT
Journal Title: INTERNATIONAL JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH - Year 2018, Vol 6, Issue 1
Abstract
Introduction: Treatment of Kienbocks disease is based on staging but still lacks proper consensus regarding the modality to be used. Revascularization alleviated the need for second surgery and maintains the normal integrity of the carpal row with good to excellent results. We report a case of stage II Kienbock’s disease treated with 2,3 ICSRA graft. Material & Methods: 36 year old female presented with complaints of pain in Left wrist joint with a history of previous trauma. She was diagnosed clinoradiologically with Stage II Kienbock’s disease. Vascularized pedicled bone graft with 2,3 ICSRA was performed with a good functional outcome at the end of 2 years. Conclusion: Superficiality to the extensor compartment makes 2,3 ICSRA an ideal graft with adequate access and good length of the graft thus abating the need for salvage procedures in early cases of lunatomalacia.
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