The Most Reliable Pain Relief - A Vascularized Bone Graft

The prognosis of keen box disease is a progressive and potentially debilitating condition if unrecognized and untreated. Capitate shortening and capital hamate fusion has a 66 % decrease on radio lunate contact stress, but 26% increase an radio scapoid load. The surgical procedure which would offer him the most reliable pain relief while best preserving the native anatomy is a vascularized bone graft.