Treatment of progressive necrosis of the lunate bone (Kienböck disease) after unsuccessful radial osteotomy

Abstract

We report the treatment of three patients with stage 3 Kienböck disease that had advanced after radial shortening (n=2) or lateral wedge osteotomy (n=1). We shortened the capitate and fused the capitate and hamate, and applied a vascularised bone graft taken from the distal dorsal radius to the lunate. This was successful in all three patients.

• Kienböck disease
• radial shortening
• wedge osteotomy of the radius
• capitate shortening
• vascularized bone graft