case_images: PMC6968543_01
case_images: CT images showing an irregular articular surface due to poor reduction in the initial surgery.
case_images: ICRP_A_1544848_F0001_B.jpg
case_images: PMC6968543_01_ICRP_A_1544848_F0001_B.jpg
case_images: F0001
case_images: Radiographs showed an irregular articular surface of the distal radius due to poor reduction in the initial surgery (Figure 1).
case_images: (A) Immediately postoperative radiograph of the radiolunate arthrodesis with the iliac crest. (B) Radiograph at 6 months after the first radiolunate arthrodesis showing nonunion.
case_images: ICRP_A_1544848_F0002_B.jpg
case_images: PMC6968543_01_ICRP_A_1544848_F0002_B.jpg
case_images: F0002
case_images: Removal of the plate and radiolunate arthrodesis with a free iliac bone graft was performed in our department (Figure 2(A)). However, the pain was still present at 6 months postoperatively, and radiography showed nonunion and loosening around the screws (Figure 2(B)).
case_images: (A) Intraoperative photograph of the vascularized bone graft at the time of harvesting. (B) Immediately postoperative photograph of the wrist with the external fixation device. (C) At 3 months after the last surgery, a radiograph confirmed bony union.
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case_images: PMC6968543_01_ICRP_A_1544848_F0003_C.jpg
case_images: F0003
case_images: The patient was then treated with a vascularized bone graft from a medial femoral condyle bone flap (Figure 3).
case_images: Diagrams of the surgical procedure. The bone graft was placed between the lunate and radius with a slight distraction of the lunate. End-to-end anastomosis was performed into the dorsal branch of the radial artery.
case_images: ICRP_A_1544848_F0004_C.jpg
case_images: PMC6968543_01_ICRP_A_1544848_F0004_C.jpg
case_images: F0004
case_images: The bone graft was tailored to fit the radiocarpal joint and was placed between the lunate and distal radius with a slight distraction of the lunate, decompressing the scaphoid (Figure 4).