{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T22:24:16Z","timestamp":1787869456442,"version":"build-2784847793"},"reference-count":66,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,10,14]],"date-time":"2023-10-14T00:00:00Z","timestamp":1697241600000},"content-version":"am","delay-in-days":347,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100000069","name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","doi-asserted-by":"publisher","award":["U01-AR073485"],"award-info":[{"award-number":["U01-AR073485"]}],"id":[{"id":"10.13039\/100000069","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","theclinics.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Hand Clinics"],"published-print":{"date-parts":[[2022,11]]},"DOI":"10.1016\/j.hcl.2022.03.007","type":"journal-article","created":{"date-parts":[[2022,10,13]],"date-time":"2022-10-13T21:34:09Z","timestamp":1665696849000},"page":"435-446","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Vascularized Bone Flaps for the Treatment of Kienb\u00f6ck Disease"],"prefix":"10.1016","volume":"38","author":[{"given":"Matthew M.","family":"Florczynski","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin C.","family":"Chung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"6","key":"10.1016\/j.hcl.2022.03.007_bib1","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1016\/j.jhsa.2005.08.002","article-title":"A\u00a0historical report on Robert Kienb\u00f6ck (1871-1953) and Kienb\u00f6ck's Disease","volume":"30","author":"Wagner","year":"2005","journal-title":"J\u00a0Hand Surg Am"},{"issue":"3","key":"10.1016\/j.hcl.2022.03.007_bib2","first-page":"220","article-title":"The Radiological Prevalence of Incidental Kienb\u00f6ck Disease","volume":"4","author":"Golay","year":"2016","journal-title":"Arch Bone Jt Surg"},{"issue":"3","key":"10.1016\/j.hcl.2022.03.007_bib3","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1007\/s11999-015-4541-1","article-title":"What is the radiographic prevalence of incidental Kienb\u00f6ck Disease?","volume":"474","author":"van Leeuwen","year":"2016","journal-title":"Clin Orthop Relat Res"},{"issue":"1","key":"10.1016\/j.hcl.2022.03.007_bib4","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1097\/BTH.0b013e3182107329","article-title":"Etiology of Kienb\u00f6ck disease","volume":"15","author":"Lluch","year":"2011","journal-title":"Tech Hand Up Extrem Surg"},{"issue":"14","key":"10.1016\/j.hcl.2022.03.007_bib5","doi-asserted-by":"crossref","first-page":"570","DOI":"10.5435\/JAAOS-D-20-00020","article-title":"Osteonecrosis of the Lunate: Kienb\u00f6ck Disease","volume":"28","author":"Rioux-Forker","year":"2020","journal-title":"J\u00a0Am Acad Orthop Surg"},{"issue":"2","key":"10.1016\/j.hcl.2022.03.007_bib6","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1302\/0301-620X.90B2.20112","article-title":"Kienbock's disease","volume":"90","author":"Schuind","year":"2008","journal-title":"J\u00a0Bone Joint Surg Br"},{"issue":"1","key":"10.1016\/j.hcl.2022.03.007_bib7","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.jhsa.2003.10.016","article-title":"Long-term outcome of nonsurgically managed Kienb\u00f6ck's disease","volume":"29","author":"Keith","year":"2004","journal-title":"J\u00a0Hand Surg Am"},{"issue":"11","key":"10.1016\/j.hcl.2022.03.007_bib8","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1016\/j.jhsa.2017.06.107","article-title":"Risk factors of lunate collapse in Kienb\u00f6ck Disease","volume":"42","author":"van Leeuwen","year":"2017","journal-title":"J\u00a0Hand Surg Am"},{"issue":"3","key":"10.1016\/j.hcl.2022.03.007_bib9","first-page":"422","article-title":"Kienb\u00f6ck's disease--late results by non-surgical treatment. A follow-up study","volume":"11","author":"Kristensen","year":"1986","journal-title":"J\u00a0Hand Surg Br"},{"issue":"10","key":"10.1016\/j.hcl.2022.03.007_bib10","doi-asserted-by":"crossref","first-page":"1415","DOI":"10.1016\/j.bjps.2014.05.037","article-title":"Characteristic features and natural evolution of Kienb\u00f6ck's disease: five years' results of a prospective case series and retrospective case series of 106 patients","volume":"67","author":"Stahl","year":"2014","journal-title":"J\u00a0Plast Reconstr Aesthet Surg"},{"issue":"6","key":"10.1016\/j.hcl.2022.03.007_bib11","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1016\/j.jhsa.2016.02.016","article-title":"Radiographic Progression of Kienb\u00f6ck Disease: radial shortening versus no surgery","volume":"41","author":"van Leeuwen","year":"2016","journal-title":"J\u00a0Hand Surg Am"},{"issue":"6","key":"10.1016\/j.hcl.2022.03.007_bib12","first-page":"531","article-title":"Causal treatment of lunatomalacia; further experiences of operative ulna lengthening","volume":"100","author":"Persson","year":"1950","journal-title":"Acta Chir Scand"},{"issue":"1","key":"10.1016\/j.hcl.2022.03.007_bib13","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1007\/s00132-011-1803-9","article-title":"100 years after Kienb\u00f6ck's description: review of the etiology of Kienb\u00f6ck's disease from a historical perspective]","volume":"41","author":"Stahl","year":"2012","journal-title":"Orthopade"},{"issue":"6","key":"10.1016\/j.hcl.2022.03.007_bib14","first-page":"482","article-title":"The early changes of Kienb\u00f6ck's disease of the carpal lunate bone","volume":"44","author":"Durbin","year":"1951","journal-title":"Proc R Soc Med"},{"issue":"3","key":"10.1016\/j.hcl.2022.03.007_bib15","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1016\/S0363-5023(80)80013-X","article-title":"The vascularity of the lunate bone and Kienb\u00f6ck's disease","volume":"5","author":"Gelberman","year":"1980","journal-title":"J\u00a0Hand Surg Am"},{"key":"10.1016\/j.hcl.2022.03.007_bib16","doi-asserted-by":"crossref","first-page":"43","DOI":"10.3109\/17453676308999833","article-title":"The intraosseus arterial pattern of the carpal lunate bone and its relation to avascular necrosis","volume":"33","author":"Lee","year":"1963","journal-title":"Acta Orthop Scand"},{"issue":"2","key":"10.1016\/j.hcl.2022.03.007_bib17","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1016\/0363-5023(93)90375-D","article-title":"Intraosseous pressure in Kienb\u00f6ck's disease","volume":"18","author":"Jensen","year":"1993","journal-title":"J\u00a0Hand Surg Am"},{"issue":"5","key":"10.1016\/j.hcl.2022.03.007_bib18","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1016\/S0363-5023(96)80187-0","article-title":"Further investigations of the intraosseous pressure characteristics in necrotic lunates (Kienb\u00f6ck's disease)","volume":"21","author":"Schiltenwolf","year":"1996","journal-title":"J\u00a0Hand Surg Am"},{"issue":"1","key":"10.1016\/j.hcl.2022.03.007_bib19","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/S0266-7681(97)80004-6","article-title":"Aetiology of Kienb\u00f6ck's disease","volume":"22","author":"Watson","year":"1997","journal-title":"J\u00a0Hand Surg Br"},{"key":"10.1016\/j.hcl.2022.03.007_bib20","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1097\/00003086-200102000-00008","article-title":"Vascularity of the carpus","volume":"383","author":"Freedman","year":"2001","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.hcl.2022.03.007_bib21","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1097\/00003086-200102000-00007","article-title":"Arterial patterns of the deep and superficial palmar arches","volume":"383","author":"Gellman","year":"2001","journal-title":"Clin Orthop Relat Res"},{"issue":"6","key":"10.1016\/j.hcl.2022.03.007_bib22","doi-asserted-by":"crossref","first-page":"902","DOI":"10.1016\/S0363-5023(05)80136-4","article-title":"The arterial blood supply of the distal radius and ulna and its potential use in vascularized pedicled bone grafts","volume":"20","author":"Sheetz","year":"1995","journal-title":"J\u00a0Hand Surg Am"},{"issue":"1","key":"10.1016\/j.hcl.2022.03.007_bib23","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/j.jhsa.2008.10.014","article-title":"Vascularized bone grafting for treatment of Kienb\u00f6ck's disease","volume":"34","author":"Elhassan","year":"2009","journal-title":"J\u00a0Hand Surg Am"},{"issue":"8","key":"10.1016\/j.hcl.2022.03.007_bib24","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1016\/j.jhsa.2008.04.006","article-title":"Capitate shortening osteotomy with vascularized bone grafting for the treatment of Kienb\u00f6ck's disease in the ulnar positive wrist","volume":"33","author":"Waitayawinyu","year":"2008","journal-title":"J\u00a0Hand Surg Am"},{"issue":"4","key":"10.1016\/j.hcl.2022.03.007_bib25","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1016\/j.cps.2020.06.004","article-title":"Medial femoral trochlea osteochondral flap: applications for scaphoid and lunate reconstruction","volume":"47","author":"Higgins","year":"2020","journal-title":"Clin Plast Surg"},{"issue":"4","key":"10.1016\/j.hcl.2022.03.007_bib26","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1016\/S0030-5898(20)30435-1","article-title":"Pathogenesis of idiopathic osteonecrosis: the ubiquitous crescent sign","volume":"16","author":"Kenzora","year":"1985","journal-title":"Orthop Clin North Am"},{"issue":"7","key":"10.1016\/j.hcl.2022.03.007_bib27","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.2106\/00004623-198062070-00001","article-title":"Autogenous cortical bone grafts in the reconstruction of segmental skeletal defects","volume":"62","author":"Enneking","year":"1980","journal-title":"J\u00a0Bone Joint Surg Am"},{"issue":"10","key":"10.1016\/j.hcl.2022.03.007_bib28","doi-asserted-by":"crossref","first-page":"1441","DOI":"10.2106\/00004623-199274100-00002","article-title":"Vascularized bone transfer","volume":"74","author":"Han","year":"1992","journal-title":"J\u00a0Bone Joint Surg Am"},{"issue":"1","key":"10.1016\/j.hcl.2022.03.007_bib29","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.ocl.2006.10.010","article-title":"Vascularized bone grafting for the treatment of carpal pathology","volume":"38","author":"Moran","year":"2007","journal-title":"Orthop Clin North Am"},{"issue":"5","key":"10.1016\/j.hcl.2022.03.007_bib30","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1053\/jhsu.2000.8639","article-title":"Role of conventional and vascularized bone grafts in scaphoid nonunion with avascular necrosis: a canine experimental study","volume":"25","author":"Sunagawa","year":"2000","journal-title":"J\u00a0Hand Surg Am"},{"issue":"1","key":"10.1016\/j.hcl.2022.03.007_bib31","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1053\/jhsu.2000.jhsu025a0046","article-title":"Experimental carpal reverse-flow pedicle vascularized bone grafts. Part II: bone blood flow measurement by radioactive-labeled microspheres in a canine model","volume":"25","author":"Tu","year":"2000","journal-title":"J\u00a0Hand Surg Am"},{"issue":"1","key":"10.1016\/j.hcl.2022.03.007_bib32","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/S0363-5023(79)80101-X","article-title":"Blood vessel transplantation to bone","volume":"4","author":"Hori","year":"1979","journal-title":"J\u00a0Hand Surg Am"},{"issue":"2","key":"10.1016\/j.hcl.2022.03.007_bib33","doi-asserted-by":"crossref","first-page":"188.e1","DOI":"10.1016\/j.jhsa.2017.09.014","article-title":"Nonvascularized cartilage grafts versus vascularized cartilage flaps: comparison of cartilage quality 6 months after transfer","volume":"43","author":"Higgins","year":"2018","journal-title":"J\u00a0Hand Surg Am"},{"issue":"6","key":"10.1016\/j.hcl.2022.03.007_bib34","doi-asserted-by":"crossref","first-page":"1516","DOI":"10.1097\/CORR.0000000000000595","article-title":"In Brief: The Lichtman Classification for Kienb\u00f6ck Disease","volume":"477","author":"Kennedy","year":"2019","journal-title":"Clin Orthop Relat Res"},{"issue":"4","key":"10.1016\/j.hcl.2022.03.007_bib35","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.1148\/rg.344140019","article-title":"From the radiologic pathology archives imaging of osteonecrosis: radiologic-pathologic correlation","volume":"34","author":"Murphey","year":"2014","journal-title":"Radiographics"},{"issue":"2","key":"10.1016\/j.hcl.2022.03.007_bib36","doi-asserted-by":"crossref","first-page":"363","DOI":"10.2214\/ajr.180.2.1800363","article-title":"Subchondral fractures in osteonecrosis of the femoral head: comparison of radiography, CT, and MR imaging","volume":"180","author":"Stevens","year":"2003","journal-title":"Am J Roentgenol"},{"issue":"4","key":"10.1016\/j.hcl.2022.03.007_bib37","doi-asserted-by":"crossref","first-page":"738","DOI":"10.1016\/j.jhsa.2014.12.024","article-title":"The effect of lunate morphology in Kienb\u00f6ck disease","volume":"40","author":"Rhee","year":"2015","journal-title":"J\u00a0Hand Surg Am"},{"issue":"1","key":"10.1016\/j.hcl.2022.03.007_bib38","first-page":"39","article-title":"Radiographic and computed tomography correlation of kienb\u00f6ck's disease: is there a need to revisit staging with improved imaging?","volume":"9","author":"Mohan","year":"2020","journal-title":"J\u00a0Wrist Surg"},{"issue":"1","key":"10.1016\/j.hcl.2022.03.007_bib39","doi-asserted-by":"crossref","first-page":"131","DOI":"10.2214\/AJR.13.11606","article-title":"Imaging of Kienb\u00f6ck disease","volume":"203","author":"Arnaiz","year":"2014","journal-title":"Am J Roentgenol"},{"issue":"21","key":"10.1016\/j.hcl.2022.03.007_bib40","doi-asserted-by":"crossref","first-page":"794","DOI":"10.5435\/JAAOS-D-18-00225","article-title":"Posttraumatic avascular necrosis after proximal femur, proximal humerus, talar neck, and scaphoid fractures","volume":"27","author":"Large","year":"2019","journal-title":"J\u00a0Am Acad Orthop Surg"},{"issue":"1","key":"10.1016\/j.hcl.2022.03.007_bib41","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1053\/jhsu.2003.50035","article-title":"The Lichtman classification for Kienb\u00f6ck's disease: an assessment of reliability","volume":"28","author":"Goldfarb","year":"2003","journal-title":"J\u00a0Hand Surg Am"},{"issue":"1","key":"10.1016\/j.hcl.2022.03.007_bib42","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1142\/S0218810411005035","article-title":"Reliability of Lichtman's classification for Kienb\u00f6ck's disease in 99 subjects","volume":"16","author":"Shin","year":"2011","journal-title":"Hand Surg"},{"issue":"4","key":"10.1016\/j.hcl.2022.03.007_bib43","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1016\/j.hcl.2017.07.003","article-title":"The Role of wrist arthroscopy in kienbock disease","volume":"33","author":"MacLean","year":"2017","journal-title":"Hand Clin"},{"issue":"1","key":"10.1016\/j.hcl.2022.03.007_bib44","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1097\/00130911-200603000-00003","article-title":"Arthroscopic assessment and classification of Kienbock's disease","volume":"10","author":"Bain","year":"2006","journal-title":"Tech Hand Up Extrem Surg"},{"issue":"4","key":"10.1016\/j.hcl.2022.03.007_bib45","first-page":"255","article-title":"Kienb\u00f6ck disease and arthroscopy: assessment, classification, and treatment","volume":"5","author":"Bain","year":"2016","journal-title":"J\u00a0Wrist Surg"},{"issue":"4","key":"10.1016\/j.hcl.2022.03.007_bib46","first-page":"248","article-title":"The etiology and pathogenesis of kienb\u00f6ck disease","volume":"5","author":"Bain","year":"2016","journal-title":"J\u00a0Wrist Surg"},{"issue":"3","key":"10.1016\/j.hcl.2022.03.007_bib47","doi-asserted-by":"crossref","first-page":"210","DOI":"10.5435\/00124635-200205000-00007","article-title":"Pedicled vascularized bone grafts for disorders of the carpus: scaphoid nonunion and Kienbock's disease","volume":"10","author":"Shin","year":"2002","journal-title":"J\u00a0Am Acad Orthop Surg"},{"issue":"3","key":"10.1016\/j.hcl.2022.03.007_bib48","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1016\/0363-5023(91)90017-6","article-title":"A\u00a0new vascularized bone graft for scaphoid nonunion","volume":"16","author":"Zaidemberg","year":"1991","journal-title":"J\u00a0Hand Surg Am"},{"issue":"5","key":"10.1016\/j.hcl.2022.03.007_bib49","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1016\/j.jhsa.2013.02.010","article-title":"Long-term results of vascularized bone graft for stage III Kienb\u00f6ck disease","volume":"38","author":"Fujiwara","year":"2013","journal-title":"J\u00a0Hand Surg Am"},{"issue":"4","key":"10.1016\/j.hcl.2022.03.007_bib50","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1016\/j.jhsa.2005.02.015","article-title":"Lunate resection and vascularized Os pisiform transfer in Kienb\u00f6ck's Disease: an average of 10 years of follow-up study after Saffar's procedure","volume":"30","author":"Daecke","year":"2005","journal-title":"J\u00a0Hand Surg Am"},{"issue":"1","key":"10.1016\/j.hcl.2022.03.007_bib51","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1097\/00000637-199507000-00011","article-title":"New dorsal capsulotomy for the surgical exposure of the wrist","volume":"35","author":"Berger","year":"1995","journal-title":"Ann Plast Surg"},{"issue":"1","key":"10.1016\/j.hcl.2022.03.007_bib52","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.jhsa.2004.10.002","article-title":"The use of the 4\u00a0+ 5 extensor compartmental vascularized bone graft for the treatment of Kienb\u00f6ck's disease","volume":"30","author":"Moran","year":"2005","journal-title":"J\u00a0Hand Surg Am"},{"issue":"10","key":"10.1016\/j.hcl.2022.03.007_bib53","doi-asserted-by":"crossref","first-page":"2635","DOI":"10.1007\/s00264-021-05103-4","article-title":"Capitate shortening osteotomy with or without vascularized bone grafting for the treatment of early stages of Kienb\u00f6ck's disease","volume":"45","author":"Hegazy","year":"2021","journal-title":"Int Orthop"},{"issue":"1","key":"10.1016\/j.hcl.2022.03.007_bib54","doi-asserted-by":"crossref","first-page":"72e","DOI":"10.1097\/PRS.0000000000000260","article-title":"Vascularization of the dorsal base of the second metacarpal bone: an anatomical study using C-arm cone beam computed tomography","volume":"134","author":"Bermel","year":"2014","journal-title":"Plast Reconstr Surg"},{"issue":"9","key":"10.1016\/j.hcl.2022.03.007_bib55","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1177\/1753193411412872","article-title":"The dorsal metacarpal arteries: anatomical study. Feasibility of pedicled metacarpal bone flaps","volume":"36","author":"Dauphin","year":"2011","journal-title":"J\u00a0Hand Surg Eur"},{"key":"10.1016\/j.hcl.2022.03.007_bib56","series-title":"Operative techniques: hand and wrist surgery","first-page":"194","article-title":"Chapter 31: Procedures for Avascular Necrosis of the Lunate (Kienb\u00f6ck Disease)","author":"Grant","year":"2021"},{"issue":"2","key":"10.1016\/j.hcl.2022.03.007_bib57","first-page":"98","article-title":"Vascularized bone grafts from the dorsal wrist for the treatment of kienb\u00f6ck disease","volume":"5","author":"Nakagawa","year":"2016","journal-title":"J\u00a0Wrist Surg"},{"issue":"7","key":"10.1016\/j.hcl.2022.03.007_bib58","doi-asserted-by":"crossref","first-page":"1313","DOI":"10.1016\/j.jhsa.2014.03.040","article-title":"Vascularized medial femoral trochlea osteochondral flap reconstruction of advanced Kienb\u00f6ck disease","volume":"39","author":"B\u00fcrger","year":"2014","journal-title":"J\u00a0Hand Surg Am"},{"issue":"10","key":"10.1016\/j.hcl.2022.03.007_bib59","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.1177\/17531934211031862","article-title":"Medial femoral trochlea flap reconstruction versus proximal row carpectomy for Kienb\u00f6ck's disease: a morphometric comparison","volume":"46","author":"Van Handel","year":"2021","journal-title":"J\u00a0Hand Surg Eur"},{"issue":"8","key":"10.1016\/j.hcl.2022.03.007_bib60","doi-asserted-by":"crossref","first-page":"774.e1","DOI":"10.1016\/j.jhsa.2019.12.008","article-title":"Preliminary clinical, radiographic, and patient-reported outcomes of the medial femoral trochlea osteochondral free flap for lunate reconstruction in advanced kienb\u00f6ck disease","volume":"45","author":"Pet","year":"2020","journal-title":"J\u00a0Hand Surg Am"},{"issue":"4","key":"10.1016\/j.hcl.2022.03.007_bib61","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/j.jhsa.2019.08.008","article-title":"Outcomes of the medial femoral trochlea osteochondral free flap for proximal scaphoid reconstruction","volume":"45","author":"Pet","year":"2020","journal-title":"J\u00a0Hand Surg Am"},{"issue":"3","key":"10.1016\/j.hcl.2022.03.007_bib62","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1016\/j.hcl.2019.03.006","article-title":"Long-term outcomes of vascularized trochlear flaps for scaphoid proximal pole reconstruction","volume":"35","author":"Pet","year":"2019","journal-title":"Hand Clin"},{"issue":"5","key":"10.1016\/j.hcl.2022.03.007_bib63","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.1016\/j.jhsa.2012.02.033","article-title":"Cutaneous angiosome territory of the medial femoral condyle osteocutaneous flap","volume":"37","author":"Iorio","year":"2012","journal-title":"J\u00a0Hand Surg Am"},{"issue":"4","key":"10.1016\/j.hcl.2022.03.007_bib64","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1016\/j.jhsa.2013.01.036","article-title":"Vascularized medial femoral trochlea osteocartilaginous flap reconstruction of proximal pole scaphoid nonunions","volume":"38","author":"B\u00fcrger","year":"2013","journal-title":"J\u00a0Hand Surg Am"},{"issue":"10","key":"10.1016\/j.hcl.2022.03.007_bib65","doi-asserted-by":"crossref","first-page":"1032","DOI":"10.1177\/17531934211019349","article-title":"The free vascularized lateral femoral trochlea osteochondral graft: a reliable alternative for Stage III Kienb\u00f6ck's disease","volume":"46","author":"Windhofer","year":"2021","journal-title":"J\u00a0Hand Surg Eur"},{"issue":"1","key":"10.1016\/j.hcl.2022.03.007_bib66","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.bjps.2017.08.012","article-title":"Anatomic and high-resolution computed tomographic angiography study of the lateral femoral condyle flap: implications for surgical dissection","volume":"71","author":"Morsy","year":"2018","journal-title":"J\u00a0Plast Reconstr Aesthet Surg"}],"container-title":["Hand Clinics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074907122200018X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074907122200018X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T03:24:54Z","timestamp":1760066694000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S074907122200018X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":66,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,11]]}},"alternative-id":["S074907122200018X"],"URL":"https:\/\/doi.org\/10.1016\/j.hcl.2022.03.007","relation":{},"ISSN":["0749-0712"],"issn-type":[{"value":"0749-0712","type":"print"}],"subject":[],"published":{"date-parts":[[2022,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Vascularized Bone Flaps for the Treatment of Kienb\u00f6ck Disease","name":"articletitle","label":"Article Title"},{"value":"Hand Clinics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hcl.2022.03.007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}