Arthroscopic reconstructive procedures for kienböck's disease

Wing Lim Tse, Xiaofeng Teng, Bo Liu, Clara Wong Wing-Yee, Pakcheong Ho, Gregory I. Bain

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

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.

Original languageEnglish
Title of host publicationKienbock's Disease: Advances in Diagnosis and Treatment
Subtitle of host publicationAdvances in Diagnosis and Treatment
PublisherSpringer International Publishing
Pages261-270
Number of pages10
ISBN (Electronic)9783319342269
ISBN (Print)9783319342269
DOIs
Publication statusPublished - 2016

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    Tse, W. L., Teng, X., Liu, B., Wing-Yee, C. W., Ho, P., & Bain, G. I. (2016). Arthroscopic reconstructive procedures for kienböck's disease. In Kienbock's Disease: Advances in Diagnosis and Treatment: Advances in Diagnosis and Treatment (pp. 261-270). Springer International Publishing. https://doi.org/10.1007/978-3-319-34226-9_25