Lunate excision, capitate osteotomy, and intercarpal arthrodesis should be used with caution for advanced Kienböck’s disease

Abstract

Li et al. (2018) described their results of capitate osteotomy and transposition combined with an iliac bone graft to treat advanced Kienböck's disease with reference to Lu et al. (2006). The surgical procedures of Li et al. (2018) included excision of the necrotic lunate and proximal transposition of the proximal part of the capitate. The basic idea of this technique was described by Graner et al. (1966). Since that report, there have been several publications regarding this technique, its modifications, and their mid-term as well as long-term results (

Pronator quadratus pedicled bone graft in the treatment of Kienböck disease: follow-up 2 to 12 years

“…Because Kienbo ¨ck disease occurs in young patients, a satisfactory long-term follow-up result is essential for treatment options. Several treatment options are no longer used because of their poor long-term outcomes, despite their early satisfactory outcomes (Ruettermann, 2019). Therefore, we performed further analysis for the 10 patients who were followed-up for more than 5 years (Li et al, 2018).…”

Simplifying the Decision-Making Process in the Treatment of Kienböck's Disease

“…However, this decision may also be made intraoperatively by direct inspection of the chondral surface. 3 Other options where there is fragmentation of the lunate include capitate lengthening or its modification 25,60 or lunate replacement. 26 Less commonly, the proximal articular surface of the lunate alone is fractured or fragmented (►Fig.…”