TREATMENT OF STAGE II KIENBOCK’S DISEASE WITH VASCULARIZED DORSAL RADIUS BONE GRAFT- A CASE REPORT

Gaurav Sharma^1, , Ravindra Thorat², Rajiiv Salkhuja³ and Relwani Nisha⁴

¹Department of Orthopaedics, Prakash Institute of Medical sciences, Islampur-Sangli road, Tal-Walwa, Sangli, Uran, Islampur-415409, Maharashtra.

²Department of Orthopaedics, Terna Medical College, Navi Mumbai, Maharashtra, India.

³Department of Orthopaedics, Chhatisgarh Institute of Medical Sciences, Gond Para, Gole Bazar, Bilaspur, Chhattisgarh, India

⁴Department of Community Medicine, MGM Medical College, Navi-Mumbai, Maharashtra, Indi

Cite this paper:
Gaurav Sharma, Ravindra Thorat, Rajiiv Salkhuja and Relwani Nisha. TREATMENT OF STAGE II KIENBOCK’S DISEASE WITH VASCULARIZED DORSAL RADIUS BONE GRAFT- A CASE REPORT. International Journal of Clinical and Diagnostic Research. 2018; 6(1):17-23. doi: 10.12691/ijcdr-6-1-3

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.

Keywords:
Kienbock’s wrist joint Osteonecrosis

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