case_images: PMC4992388_01
case_images: Preoperative radiogram of a 40-year-old male with Lichtman type II Kienbock's disease
case_images: PAMJ-24-37-g001.jpg
case_images: PMC4992388_01_PAMJ-24-37-g001.jpg
case_images: F0001
case_images: MRI, T2-weighted image and MRI arthrogram
case_images: PAMJ-24-37-g002.jpg
case_images: PMC4992388_01_PAMJ-24-37-g002.jpg
case_images: F0002
case_images: Figure 2). Furthermore, the ulnar variance (VU = distance between the distal articular surface of the radius and ulna) is zero.
case_images: Per operative volar radial vascular bone grafting procedure
case_images: PAMJ-24-37-g003.jpg
case_images: PMC4992388_01_PAMJ-24-37-g003.jpg
case_images: F0003
case_images: Before withdrawing the graft, the lunate is prepared to determine the size of the defect (Figure 3), the graft is then opened up to the front side of the radius.
case_images: Postoperative radiogram: the lunate stabilized by two pins
case_images: PAMJ-24-37-g004.jpg
case_images: PMC4992388_01_PAMJ-24-37-g004.jpg
case_images: F0004
case_images: Bone graft is then placed so as to fill the defect on the lunate and stabilized by two pins (scapholunate and radio-lunar), (Figure 4).
case_images: Radiographs showed consolidation after three months
case_images: PAMJ-24-37-g005.jpg
case_images: PMC4992388_01_PAMJ-24-37-g005.jpg
case_images: F0005
case_images: The net decrease in pain and progressive authorized the resumption of work but with caution to avoid tools with vibration (Figure 5).