{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T00:45:38Z","timestamp":1794357938250,"version":"4.9.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2021,2,18]],"date-time":"2021-02-18T00:00:00Z","timestamp":1613606400000},"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":[[2021,6]]},"abstract":"<jats:p>We prospectively compared outcomes of two surgical procedures for Stage II and IIIa Kienb\u00f6ck\u2019s disease with negative ulnar variance. Group I (13 wrists) was treated with radial shortening alone, and Group II (14 wrists) with combined radial shortening, bone grafting and implantation of a vascular pedicle. At follow-up 3 to 7 years (mean 4.5) after operation, scores by the Quick version of the Disability of Arm, Shoulder and Hand questionnaire and scores for pain and grip strength were significantly better in Group II, but the differences were rather small. On MRI all patients in Group II had revascularization, but 11 patients in Group I had not. We conclude that combining radial shortening with the revascularization procedure improved revascularization. Clinically, both treatments were efficient, and the additional bone grafting and vascular pedicle insertion did not greatly improve function, although statistically there were differences in several follow-up variables. This study also could not identify the independent role of the three procedures (drilling, grafting and artery insertion) in Group II, because decompression or bone grafting alone may be effective.<\/jats:p>\n                  <jats:p>Level of evidence: II<\/jats:p>","DOI":"10.1177\/1753193421993730","type":"journal-article","created":{"date-parts":[[2021,2,19]],"date-time":"2021-02-19T01:10:53Z","timestamp":1613697053000},"page":"516-522","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Radial shortening, bone grafting and vascular pedicle implantation versus radial shortening alone in Kienb\u00f6ck\u2019s disease"],"prefix":"10.1177","volume":"46","author":[{"given":"Elsayed","family":"Said","sequence":"first","affiliation":[{"name":"Orthopaedic and Traumatology Department, South Valley University, Qena, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Addosooki","sequence":"additional","affiliation":[{"name":"Orthoapedic and Traumatology Department, Sohag University, Sohag, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasser","family":"Assaghir","sequence":"additional","affiliation":[{"name":"Orthoapedic and Traumatology Department, Sohag University, Sohag, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Orthopaedic and Traumatology Department, South Valley University, Qena, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamdy","family":"Tammam","sequence":"additional","affiliation":[{"name":"Orthopaedic and Traumatology Department, South Valley University, Qena, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,2,18]]},"reference":[{"key":"bibr111-1753193421993730","doi-asserted-by":"crossref","unstructured":"Afshar A. 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