Fluoroscopic visualization of 4+5 extensor compartmental arteries in Kienböck's Disease
Background: Many surgical treatment methods have been presented for Kienböck's disease. The most current treatment method is the surgical procedure with 4+5 extensor compartmental artery (ECA) bone graft. However, the graft harvest site is very close to the radioulnar and radiocarpal joints.Obj...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Kashan University of Medical Sciences
2023-07-01
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| Series: | Archives of Trauma Research |
| Subjects: | |
| Online Access: | https://archtrauma.kaums.ac.ir/article_175286_80d8b05c021801b639ca352d8fc95a6c.pdf |
| Summary: | Background: Many surgical treatment methods have been presented for Kienböck's disease. The most current treatment method is the surgical procedure with 4+5 extensor compartmental artery (ECA) bone graft. However, the graft harvest site is very close to the radioulnar and radiocarpal joints.Objectives: This study aimed at determining the efficacy of intraoperative fluoroscopy evaluation of 4+5 ECA.Methods: Intraoperative fluoroscopic visualization of the 4+5 ECA may facilitate the surgical procedure. Patients with lunate avascular necrosis at stage II-IIIA according to Lichtman classification who underwent 4+5 ECA bone graft were included in the study. A total of 13 patients (3 females, 10 males) participated in the study.Results: The mean follow-up period of the patients was 15 months. In all patients, 4+5 ECA localizations were determined fluoroscopically. None of the patients experienced complications related to graft harvest.Conclusion: Locating the intraoperative fluoroscopic 4+5 ECA may make the surgical procedure safer. |
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| ISSN: | 2251-953X 2251-9599 |