Medial Femoral Trochlea Osteochondral Flap Reconstruction of the Previously Unsalvageable Kienbock-Associated Lunate With a Coronal Split. (Record no. 14371)

MARC details
000 -LEADER
fixed length control field 03899nam a22004817a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 240807s20242024 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0363-5023
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S0363-5023(24)00198-9 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 38934986
245 ## - TITLE STATEMENT
Title Medial Femoral Trochlea Osteochondral Flap Reconstruction of the Previously Unsalvageable Kienbock-Associated Lunate With a Coronal Split.
251 ## - Source
Source Journal of Hand Surgery - American Volume. 2024 Jun 26
252 ## - Abbreviated Source
Abbreviated source J Hand Surg [Am]. 2024 Jun 26
253 ## - Journal Name
Journal name The Journal of hand surgery
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2024
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2024
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2024 Jun 26
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Medline status Publisher
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Date added to catalog 2024-08-07
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Date Medline record created 2024/06/27 10:33
501 ## - WITH NOTE
Local holdings Available in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - present
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: Lunate coronal fracture fixation with MFT osteochondral reconstruction represents an additional management option in select patients with Kienbock disease. This technique restores the midcarpal joint during lunate reconstruction and may allow patients to avoid salvage procedures. Early radiographic and clinical outcomes are promising.
520 ## - SUMMARY, ETC.
Abstract METHODS: This was a retrospective study performed at a single institution. We identified patients with Kienbock disease who underwent MFT osteochondral reconstruction from 2014 to 2023. Patients were included if they had a coronal fracture of the lunate distal articular surface fixed at the time of surgery. Radiographic and clinical parameters were evaluated, including carpal height ratio, union rate, presence of heterotopic ossification, need for revision surgery, and patient-reported outcome measures.
520 ## - SUMMARY, ETC.
Abstract PURPOSE: Patients with Kienbock disease can present with coronal fracture and collapse of the proximal lunate (Unified B2/Bain grade 1, 2B). Traditionally, this was considered unsalvageable. However, medial femoral trochlea (MFT) osteochondral reconstruction, used to recreate the proximal lunate surface, can be paired with reduction and repair of the coronal plane fracture, thus restoring midcarpal congruity. The purpose of this study was to report radiographic and clinical outcomes following lunate coronal fracture fixation at the time of MFT osteochondral reconstruction.
520 ## - SUMMARY, ETC.
Abstract RESULTS: Thirty-three patients were included, with a mean age of 27.5 years (range: 15-41); 19 (58%) were women. Mean radiographic follow-up time was 5.8 months, and mean clinical follow-up time was 22.6 months. Union was achieved in 30/33 patients (91%). Carpal height ratio improved from 1.32 to 1.4. Two patients (6%) required reoperation, one for removal of heterotopic ossification and another for conversion to proximal row carpectomy. Patients demonstrated meaningful improvement in brief Michigan Hand Questionnaire and Patient-Reported Outcomes Measurement Information Upper Extremity scores. Range of motion before and after surgery was similar.
520 ## - SUMMARY, ETC.
Abstract TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV. Copyright © 2024 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Indexing Automated
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution Curtis National Hand Center
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Institution MedStar Union Memorial Hospital
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Department Orthopaedic Surgery Residency
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Medline publication type Journal Article
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Local Authors Dahl, Amanda
Institution Code CURT
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Local Authors Giladi, Aviram M
Institution Code CURT
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Higgins, James P
Institution Code CURT
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Imbergamo, Casey
Institution Code MUMH
Program Orthopaedic Surgery Residency
Degree MD
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Local Authors Macaraeg, Crisanto
Institution Code CURT
790 ## - Authors
All authors Imbergamo CM, Dahl A, Macaraeg C, Giladi AM, Higgins JP
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.jhsa.2024.04.007">https://dx.doi.org/10.1016/j.jhsa.2024.04.007</a>
Public note https://dx.doi.org/10.1016/j.jhsa.2024.04.007
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Barcode Date last seen Price effective from Koha item type
              08/07/2024   38934986 08/07/2024 08/07/2024 Journal Article

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