{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T10:42:55Z","timestamp":1780396975204,"version":"3.54.1"},"reference-count":21,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2021,3,22]],"date-time":"2021-03-22T00:00:00Z","timestamp":1616371200000},"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":[[2021,7]]},"abstract":"<jats:p>We report the short- to medium-term outcomes for patients with Kienb\u00f6ck\u2019s disease and ulnar positive or neutral wrists treated by capitate shortening osteotomy combined with a 4\u2009+\u20095 extensor compartmental artery vascularized bone graft placed in the lunate. This is a retrospective study of seven consecutive patients with Lichtman Stage 2 to 3B. Radiological and clinical outcomes were evaluated. Six patients maintained their Lichtman stage, one progressed. Mean time to union of the capitate was 10\u00a0weeks. Five of six lunates were completely revascularized on MRI scans, with one partial revascularization. Mean follow-up for functional scores was 40\u00a0months (range 15 to 62). Mean pain score improved significantly from 7.4\/10 preoperatively to 1.9\/10 postoperatively, and patient satisfaction was 9.2\/10. Mean postoperative Quick Disabilities of Arm, Shoulder and Hand, Patient Evaluation Measure and Patient-Rated Wrist Evaluation scores were improved. All patients returned to their previous work. We conclude that this procedure has good short- to medium-term outcomes.<\/jats:p>\n                  <jats:p>Level of evidence: IV<\/jats:p>","DOI":"10.1177\/1753193421999915","type":"journal-article","created":{"date-parts":[[2021,3,23]],"date-time":"2021-03-23T01:08:18Z","timestamp":1616461698000},"page":"581-586","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Capitate shortening osteotomy and vascularized bone grafting for Kienb\u00f6ck\u2019s disease in ulnar positive or neutral wrists"],"prefix":"10.1177","volume":"46","author":[{"given":"Alistair R.","family":"Hunter","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, University College London Hospitals, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Temperley","sequence":"additional","affiliation":[{"name":"Department of Radiology, Wrightington Hospital, Wigan, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian A.","family":"Trail","sequence":"additional","affiliation":[{"name":"Upper Limb Unit, Wrightington Hospital, Wigan, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,3,22]]},"reference":[{"key":"bibr1-1753193421999915","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2010.09.014"},{"key":"bibr2-1753193421999915","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200103000-00006"},{"key":"bibr3-1753193421999915","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(21)01271-3"},{"key":"bibr4-1753193421999915","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(82)80143-3"},{"key":"bibr5-1753193421999915","doi-asserted-by":"publisher","DOI":"10.1142\/S0218810415400079"},{"key":"bibr6-1753193421999915","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181addc50"},{"key":"bibr7-1753193421999915","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(90)90049-W"},{"key":"bibr8-1753193421999915","doi-asserted-by":"publisher","DOI":"10.1142\/S0218810401000618"},{"key":"bibr10-1753193421999915","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197759070-00011"},{"key":"bibr11-1753193421999915","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2004.10.002"},{"key":"bibr121-1753193421999915","doi-asserted-by":"crossref","unstructured":"Nakamura R, Watanabe K, Tsunoda K, Miura T. Radial osteotomy for Kienb\u00f6ck's disease evaluated by magnetic resonance imaging: 24 cases followed for 1\u20133 years. 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