Abstract
Numerous literatures have described various procedures in the treatment of Kienbock's disease depending upon the severity of the symptoms, patient characteristics and radiological staging. These range from conservative management to surgical procedures. The case under study had Lichtman stage ** disease. Vascularised bone grafts provide improved blood flow, osteocyte preservation, and accelerated healing rates. We inserted pronator quadratus pedicled bone graft into our case of lunate osteonecrosis and temporarily fixed the graft. Clinically, the patient reported pain subsidence with improvement in range of motion and grip strength. Vascularised pedicle and bone grafting is an effective way for treatment of early and middle stages of osteonecrosis of lunate
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