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Journal of Bone and Joint Surgery, 1970;52:245-252.
© 1970 by The Journal of Bone and Joint Surgery, Inc

The Dorsal Flap Arthroplasty in the Treatment of Kienböck's Disease

STANLEY H. NAHIGIAN M.D.1, CHARLES S. LI M.D.1, DEWAYNE G. RICHEY M.D.1, and DARREL T. SHAW M.D.1

1 3461 Warrensville Center Road, Cleveland, Ohio 44122

Four patients with long-standing Kienböck's disease were treated by excision of the lunate and with dorsal flap arthroplasty. All patients had had unsuccessful attempts at conservative therapy. On follow-up, averaging twenty-eight months, all were symptom free and had returned to hobbies and athletic activities. The dorsal flap operation prevented the carpal migration which occurs with mere extirpation of the lunate and is preferable to inserting a prothesis or interposing other tissue. The morbidity and complications were less than are encountered either in intercarpal fusion or in the ulnar lengthening operation or in wrist arthrodesis.


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K. Takase and A. Imakiire
Lunate Excision, Capitate Osteotomy, and Intercarpal Arthrodesis for Advanced Kienbock Disease : Long-Term Follow-up
J. Bone Joint Surg. Am., February 1, 2001; 83(2): 177 - 177.
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