Kienbock, Preiser-IC20: Kienbock’s Disease: A New Understanding

Video Transcription

Video Summary

In this video, Peter and Mario from the Mayo Clinic discuss the topic of vascularized bone grafts in Keenbox disease. They mention the importance of considering the patient's condition and symptoms, as well as the complexity of the disease in relation to the shape of the lunate bone, blood supply, fractures, and damage to the cartilage. They talk about revascularization as a procedure that has been described for Keenbox disease, but also highlight the lack of clear evidence regarding its effectiveness compared to other treatments. They discuss different options for revascularization, including using vascular pedicles, drilling holes, and osteotomies. They emphasize the need for further research and prospectively randomized trials to determine the best treatment approach. They also mention the challenges of creating animal models for avascular necrosis, which limits the ability to study the condition. Overall, they conclude that revascularization is a reasonable option when the lunate is intact, but caution that more research is needed to understand its long-term outcomes compared to other treatments.

Keywords

vascularized bone grafts

Keenbox disease

revascularization

research

long-term outcomes