Mr Jeremy Read
Consultant Orthopaedic Hand & Wrist Surgeon
07565 446713 info@hertshandsurgeon.com
Mr Jeremy Read
Surgeon
Herts
Hand
Surgeon
Herts
Hand
| Treatment | Treatment Goal | Stage |
| Immobilisation | Preservation | I |
| Joint Leveling Procedures ( i.e. radial shortening) | Preservation |
I, II, IIIA |
| Vascularised Bone Grafting | Preservation |
I, II, IIIA |
| Capitate Shortening (+/- capitohamate fusion) | Preservation |
I, II, IIIA |
| Radial Osteotomy (to reduce inclination) | Preservation |
I, II, IIIA |
| STT (scaphotrapeziotrapezoidal) Fusion | Salvage | IIIB |
| Scaphocapitate Fusion | Salvage |
IIIB |
| Proximal Row Carpectomy | Salvage |
IIIB |
| Lunate Replacement | Salvage |
IIIB |
| Wrist Replacement | Salvage |
IV |
| Total Wrist Fusion | Salvage |
IV |
The treatment of Kienbock's disease is split into 2 types of treatment dependiake Lunate ng on the stage of the disease; those that aim to preserve the lunate and improve the blood supply. Or salvage procedures that aim to treat pain and function but remove the necrotic lunate. Mr Read will undertake Lunate Replacement in appropriate cases.
Treatment Options
| Treatment | Treatment Goal | Stage |
| Immobilisation | Preservation | I |
| Joint Leveling Procedures ( i.e. radial shortening) | Preservation | I, II, IIIA |
| Vascularised Bone Grafting | Preservation | I, II, IIIA |
| Capitate Shortening (+/- capitohamate fusion) | Preservation | I, II, IIIA |
| Radial Osteotomy (to reduce inclination) | Preservation | I, II, IIIA |
| STT (scaphotrapeziotrapezoidal) Fusion | Salvage | IIIB |
| Scaphocapitate Fusion | Salvage | IIIB |
| Proximal Row Carpectomy | Salvage | IIIB |
| Lunate Replacement | Salvage | IIIB |
| Wrist Replacement | Salvage | IV |
| Total Wrist Fusion | Salvage | IV |
