Review of treatment results for Kienbock's disease.
A review of the literature reveals that Kienbock's disease has been treated in many different ways. Excision of the lunate, with or without replacement arthroplasty, and joint-leveling procedures (radial shortening or ulnar lengthening) are the most popular procedures, but other methods of treatment (nonoperative, wrist denervation, lunate revascularization, intercarpal arthrodesis and proximal-row carpectomy) have also been performed. Based on our current understanding of the etiology, a joint-leveling procedure seems to make the most sense when surgery is indicated. However, other procedures have yielded a high success rate as well.
Kuschner
S H
SH
Department of Orthopaedics, University of Southern California, Los Angeles.
Brien
W W
WW
Bindiger
A
A
Sherman
R
R
D002348:Carpal Bones / Q000601:surgery; D003714:Denervation / Q000379:methods; D006801:Humans; D012667:Lunate Bone / Q000098:blood supply; D010007:Osteochondritis / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods; D014953:Wrist / Q000601:surgery*