Mr Jeremy Read
Hand & Wrist Surgeon
Private Secretary

07565 446713
NHS Secretary

01923 217085
Private Secretary 07565 446713
NHS Secretary 01923 217155
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