Vascularized bone graft from the index metacarpal for Kienböck's disease: a case report.

A vascularized bone graft from the head and neck of the index metacarpal bone was used for the treatment of stage IIIA Kienböck's disease in a 20-year-old woman. Three months after surgery pain had disappeared and wrist range of motion improved. Postoperative radiographs and magnetic resonance imaging revealed revascularization and fracture healing of the lunate bone. This technique has not been used in the treatment of Kienböck's disease; it may be useful in selected cases.