Arthroscopic Reconstructive Procedures for Kienböck’s Disease
Advances in arthroscopic technique have allowed a more accurate assessment and classification of the pathological changes in Kienböck’s disease. This assists in decision making and customizing treatment for the individual patient and their wrist disorder. In our practice arthroscopic reconstructive procedures for Kienböck’s disease include lunate excision, proximal row carpectomy and partial wrist fusions. In advanced Kienböck’s disease where the radioscaphoid articulation is still preserved, we utilize scaphocapitate fusion, which bypasses the load to the radioscaphoid articulation, and therefore unloads the lunate. In this article the specific indications and techniques of arthroscopic scaphocapitate fusion, radioscapholunate fusion and proximal row carpectomy are described.
KeywordsWrist Kienböck Lunate Arthrodesis Fusion Arthroscopy Radiocapitate Radioscapholunate Scaphotrapeziotrapezoid Carpectomy Scaphoid Capitate
Examination of soft and fragmented distal lunate cartilage in the mid-carpal joint (MP4 7124 kb)
Lunate excision is performed with an arthroscopic burr within the central of lunate. It is directed radially and then in all directions (MP4 2298 kb)
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