Lunate implant resection arthroplasty: Long-term results

Long-term outcome (22–36 years) of silicone lunate arthroplasty for Kienböck’s disease

“…Viljakka et al (1987) found an incidence of silicone cyst formation of 22% after a mean 3 years, Swanson et al (1985) 33% after 5 years, Kaarela et al (1998) 87% after 8 years, and Viljakka et al (1995) 81% after 11 years, whereas the incidence in the present study was 78% after a mean 27 years. Thus, the incidence of silicone cysts rises over time, but apparently will reach its maximum in about 10 years.…”

An international opinion research survey of the etiology, diagnosis, therapy and outcome of Kienböck's disease (KD)

“…Diagnostic uncertainties may explain the multitude of published radiologic parameters [17,20,26,27] and proposed classifications (Ståhl [16], Decoulx [28], Lichtman [29][30][31], Swanson [32], Martini [7], Goldfarb [19]). Among these radiologic parameters, few seem to have relevance in the daily routine of hand surgeons.…”

Radial recession osteotomy for early Kienböck's disease

“…The surgical options are numerous and include wrist immobilisation [6,21], temporary distraction [2,39], open reduction internal fixation with or without bone graft, revascularisation procedures [7,35], joint levelling procedures [1,3,4,5,8,14,22,25,26,27,28,30] various intercarpal arthrodeses [scaphoidtrapezium-trapezoid arthrodesis (STT), scapho-capitate (SC), capito-hamate (CH)] [8,11,14,24,31,36,37], lunate excision with or without replacement [13,17,20,33] wrist denervation [10,29], and end-stage salvage procedures such as proximal row carpectomy and total wrist fusion [16]. There is support in the literature for all these procedures.…”

“…In the absence of a complete understanding of the aetiology of this disease, however, the possible options in its management are numerous, and the literature lends support to all. In advanced disease, operative extirpation with or without replacement [13,17,20,33] and numerous procedures attempting to promote revascularisation [7,35,39] have been advocated while in the early disease stages joint levelling procedures [4,30] or intercarpal arthrodeses are favoured [24,36].…”