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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2025; 53(01): e4-e12
DOI: 10.1055/s-0045-1809556
DOI: 10.1055/s-0045-1809556
Artículo de Actualización | Update Article
Kienbock's Disease Treatment: Past, Present, and Future
Article in several languages: español | English
Abstract
There are various approaches to the management of Kienböck's disease, which differ depending on factors such as the patient's age, the stage of the disease, and the viability of the lunate. Treatment options have ranged from the correction of radioulnar dysmetria and lunate decompression in the early stages to lunate excision or even prosthetic placement in more advanced stages. Furthermore, alternatives such as revascularization with bone grafts or palliative techniques, including partial or total wrist arthrodesis, are considered. In this review article, we examine the different available treatment modalities and present our preferred treatment approach, informed by the current body of evidence, to enhance the management of Kienböck's disease.
Publication History
Received: 26 March 2025
Accepted: 02 May 2025
Article published online:
21 July 2025
© 2025. SECMA Foundation. 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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