{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:06:11Z","timestamp":1777853171690,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,3,24]],"date-time":"2019-03-24T00:00:00Z","timestamp":1553385600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:p>We inserted a pronator quadratus pedicled bone graft into the avascular lunate with preservation of its corticocartilaginous portion for the treatment of Kienb\u00f6ck disease. Twenty-seven patients (14 men, 13 women; mean age, 42 years (range 17\u201366 years)) were treated between September 2005 and July 2014 and followed up from 2 to 12 years. Three patients had Lichtman stage II disease, 13 had stage IIIA, and 11 had stage IIIB. Among them, 18 patients showed radiological improvement in lunate morphology. The Lichtman stage was unchanged in 23 patients and aggravated in four patients. The Stahl index was significantly decreased, but grip strength was significantly improved and 18 patients did not have any wrist pain during daily activities. Although our technique did not restore the already changed carpal malalignment, it improved lunate morphology. Clinically, it provided satisfactory pain levels in two-thirds of the patients and grip strength was improved.<\/jats:p>\n                  <jats:p>Level of evidence: IV<\/jats:p>","DOI":"10.1177\/1753193419836628","type":"journal-article","created":{"date-parts":[[2019,3,25]],"date-time":"2019-03-25T02:08:01Z","timestamp":1553479681000},"page":"396-402","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Pronator quadratus pedicled bone graft in the treatment of Kienb\u00f6ck disease: follow-up 2 to 12 years"],"prefix":"10.1177","volume":"45","author":[{"given":"Young Ho","family":"Shin","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun O","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jae Jung","family":"Ryu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tae Kyoon","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shin Woo","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jae Kwang","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,3,24]]},"reference":[{"key":"bibr1-1753193419836628","first-page":"98","volume":"149","author":"Beckenbaugh RD","year":"1980","journal-title":"Clin Orthop Relat Res"},{"key":"bibr2-1753193419836628","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2008.10.012"},{"key":"bibr3-1753193419836628","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1016\/S0363-5023(83)80140-3","volume":"8","author":"Braun RM","year":"1983","journal-title":"J Hand Surg Am"},{"key":"bibr4-1753193419836628","doi-asserted-by":"publisher","DOI":"10.1007\/BF00265834"},{"key":"bibr5-1753193419836628","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2000.5993"},{"key":"bibr6-1753193419836628","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2003.50035"},{"key":"bibr7-1753193419836628","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.88B5.16888"},{"key":"bibr8-1753193419836628","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2003.10.016"},{"key":"bibr9-1753193419836628","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(97)80365-8"},{"key":"bibr10-1753193419836628","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000000937"},{"key":"bibr11-1753193419836628","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(09)90028-4"},{"key":"bibr12-1753193419836628","doi-asserted-by":"publisher","DOI":"10.1177\/1753193418780552"},{"key":"bibr13-1753193419836628","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(09)90027-2"},{"key":"bibr14-1753193419836628","doi-asserted-by":"publisher","DOI":"10.1177\/1753193418807360"},{"key":"bibr15-1753193419836628","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(05)80136-4"},{"key":"bibr16-1753193419836628","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200205000-00007"},{"key":"bibr17-1753193419836628","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2017.9.3.355"},{"key":"bibr18-1753193419836628","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.17.00764"},{"key":"bibr19-1753193419836628","first-page":"1","volume":"126","author":"Stahl F","year":"1947","journal-title":"Acta Chir Scand"},{"key":"bibr20-1753193419836628","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2007.07.011"},{"key":"bibr21-1753193419836628","unstructured":"Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS.\n                      Green's operative hand surgery\n                      . 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