Outcome of kienbock’s disease by treatment with pronator quadratus muscle pedicle graft

Abstract

Kienbock’s disease is osteonecrosis of lunate which is difficult to diagnose and treat. In advance stage the treatment is difficult and usually these patients require wrist arthrodesis. We have used pronator quadratus muscle pedicle bone graft as treatment option to retain the mobility of the wrist joint.Ten male patients were included in the study. Wrist pain was presenting complaint. The stage of presentation was Litchman stage IIIA. All Patients were managed by Pronator quadrates muscle pedicle bone graft under Brachial plexus block with uneventful post operative period.Recovery were good in seven cases and fair in three case.Pronator quadrates muscle pedicle bone graft is good salvage procedure in advanced stage of Kienbock’s disease.