Vascularized Medial Femoral Trochlea Osteochondral Flap Reconstruction of Advanced Kienböck Disease

Medial Femoral Condyle Flap

“…Indications for the MFT flap include proximal pole scaphoid nonunions that cannot be reconstructed via conventional techniques and advanced Kienbock disease in young patients. 3,4 …”

2013–2014 Sterling Bunnell Traveling Fellowship Report

“…It also provides the capability of improving the disease stage and restoring carpal height. 9 We have also used the same site of harvest from the MFT for nonarthritic scapholunate dissociation, enabling scapholunate arthrodesis and incorporating the vascularized osteochondral flap between the scaphoid and the lunate. We have used the same donor site for capitate avascular necrosis to resurface the proximal surface and restore midcarpal cartilage.…”

Kienbock Disease, a Tertiary Care Experience from the Developing World

“…Management of Kienbock's disease is focused on alleviating pain and halt the worsening disease process [7]. Various standard modalities are used to treat this disease, including nonsurgical management, vascularised bone graft (VBG), joint levelling procedures, intercarpal arthrodesis, proximal row carpectomy and total wrist arthrodesis [8,9]. Gupta et al in 2014 presented their experience in 12 patients and found improvement in the functional outcome after treatment [3].…”