Abstract
There is a general consensus that the pathogenesis for Kienböck’s disease remains
uncertain, though it is probably related to nonphysiologic stress transmission across
the lunate, acting in concert with one of several possible vascular abnormalities.
Most surgical treatments focus on mechanical aspects rather than real physiopathology,
but in the recent years several articles have shown the utility of vascularized grafts
in the treatment of Kienböck’s disease, especially in its early stages. The authors
present a case of a successfully reconstruction of a IIIA stage Kienböck’s disease
with an osteochondral vascularized graft from medial femoral condyle.
Keywords
Kienböck’s disease - lunate morphology - medial femoral condyle - osteochondral vascularized
graft - microsurgery
