Fixation of the Fractured Lunate in Kienböck Disease

Abstract

Purpose: To describe an uncommon subset of fractured lunates in Kienböck disease that is salvageable by internal fixation. Methods: We performed a retrospective review for patients with Kienböck disease treated by internal fixation. Demographic data, objective and radiographic measurements, patient-reported outcome measures (Disabilities of the Arm, Shoulder, and Hand and Patient-Rated Wrist Evaluation) and pain (visual analog scale) scores were collected. Results: Of the 7 patients treated, 5 were available for review. At an average follow-up of 7.1 years (range, 1.5–15 years), all patients had activity-related wrist pain but were pain-free at rest. Radiographic assessment showed union in a..