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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2020; 48(02): 119-127
DOI: 10.1055/s-0040-1721047
Update Article | Artículo de Actualización

Update on the Use of Arthroscopy in Kienböck's Disease Management

Article in several languages: English | español
René Jorquera Aguilera
1   IWAS Faculty, IWC, Chile
2   Orthopedics and Traumatology Department, Universidad Andrés Bello, Chile
3   Hand Team, Artroscopia y Microcirugía Clínica Indisa, Santiago de Chile, Chile
,
Camila Azócar Sanhueza
3   Hand Team, Artroscopia y Microcirugía Clínica Indisa, Santiago de Chile, Chile
4   Orthopedics and Traumatology Department, Universidad de Chile, Chile
5   Hand Team, Hospital Clínico Mutual de Seguridad de Santiago de Chile, Chile
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Abstract

Kienböck's disease is a clinical-radiological condition that can permanently affect wrist functionality and the patient's quality of life. Proper, pertinent diagnosis and treatment are required to avoid salvage procedures. Arthroscopic techniques have emerged as an important tool for the treatment of certain stages of the disease.

We present a review of the literature and propose a treatment algorithm according to the stage of the disease, including arthroscopic techniques. We detail the surgical technique of arthroscopic scaphocapitate arthrodesis, and the functional outcomes obtained by our group.

Keywords

Kienböck's disease - lunate avascular necrosis - wrist arthroscopy - scaphocapitate arthrodesis - partial wrist fusion.


Publication History

Received: 05 October 2020

Accepted: 15 October 2020

Article published online:
24 November 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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