Mr Jeremy Read
MBBS, BSc, MSc (Sports Medicine), FRCS (Tr&Orth)

Consultant Orthopaedic Hand & Wrist Surgeon
NHS Secretary 01923 217155      Private Secretary 07565 446713
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 depending 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.