{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:34Z","timestamp":1787755354720,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We describe a patient with Bain grade-2b Kienb\u00f6ck disease with a coronal fracture of the distal lunate articular surface with proximal structure collapse. To reestablish midcarpal congruity, we used a bone-anchored suture to repair the coronal split in the lunate in preparation for lunate preservation with osteochondral medial femoral trochlea (MFT) reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In Bain grade-2b Kienb\u00f6ck disease, lunate reconstruction of both the proximal and distal joint surfaces can be performed. Successful reconstruction of the distal articular surface can be achieved using a bone-anchored FiberWire (Arthrex) suture technique. This can be employed in conjunction with an osteochondral MFT reconstruction of the proximal aspect of the lunate. Patients with this commonly encountered coronal fracture of the distal articular surface may be considered candidates for lunate reconstruction via this technique rather than conventional ablative procedures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.17.00254","type":"journal-article","created":{"date-parts":[[2018,6,13]],"date-time":"2018-06-13T13:15:52Z","timestamp":1528895752000},"page":"e37-e37","source":"Crossref","is-referenced-by-count":12,"title":["Coronal Fracture of the Lunate in Advanced Kienb\u00f6ck Disease: Reestablishing Midcarpal Congruency to Enable Osteochondral Reconstruction"],"prefix":"10.2106","volume":"8","author":[{"given":"Joshua A.","family":"Gillis","sequence":"first","affiliation":[{"name":"Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8181-6444","authenticated-orcid":false,"given":"James P.","family":"Higgins","sequence":"additional","affiliation":[{"name":"Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,6]]},"reference":[{"issue":"3","key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1016\/S0749-0712(21)01262-2","article-title":"Staging and its use in the determination of treatment modalities for Kienb\u00f6ck\u2019s disease","volume":"9","author":"Lichtman","year":"1993","journal-title":"Hand Clin."},{"issue":"1","key":"bib2-20230712","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1097\/00130911-200603000-00003","article-title":"Arthroscopic assessment and classification of Kienbock\u2019s disease","volume":"10","author":"Bain","year":"2006","journal-title":"Tech Hand Up Extrem Surg."},{"issue":"7","key":"bib3-20230712","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 Hand Surg Am."},{"issue":"5","key":"bib4-20230712","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 Hand Surg Am."},{"issue":"4","key":"bib5-20230712","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 Hand Surg 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models","volume":"32","author":"Katz","year":"2012","journal-title":"Microsurgery."},{"issue":"3","key":"bib9-20230712","doi-asserted-by":"crossref","first-page":"357e","DOI":"10.1097\/PRS.0b013e31827c6f38","article-title":"Medial femoral condyle flap donor-site morbidity: a radiographic assessment","volume":"131","author":"Rao","year":"2013","journal-title":"Plast Reconstr Surg."},{"issue":"10","key":"bib10-20230712","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1016\/j.arthro.2006.04.106","article-title":"Sutures and suture anchors\u2014update 2006","volume":"22","author":"Barber","year":"2006","journal-title":"Arthroscopy."},{"issue":"3","key":"bib11-20230712","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1053\/jhsu.2001.24135","article-title":"Bone suture anchors versus the pullout button for repair of distal profundus tendon injuries: a comparison of strength in human cadaveric hands","volume":"26","author":"Brustein","year":"2001","journal-title":"J Hand 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