PMC4992388_01
Preoperative radiogram of a 40-year-old male with Lichtman type II Kienbock's disease
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MRI, T2-weighted image and MRI arthrogram
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Figure 2). Furthermore, the ulnar variance (VU = distance between the distal articular surface of the radius and ulna) is zero.
Per operative volar radial vascular bone grafting procedure
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Before withdrawing the graft, the lunate is prepared to determine the size of the defect (Figure 3), the graft is then opened up to the front side of the radius.
Postoperative radiogram: the lunate stabilized by two pins
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Bone graft is then placed so as to fill the defect on the lunate and stabilized by two pins (scapholunate and radio-lunar), (Figure 4).
Radiographs showed consolidation after three months
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The net decrease in pain and progressive authorized the resumption of work but with caution to avoid tools with vibration (Figure 5).