Resection of the proximal row of wrist bones in the treatment of Kienbock’s disease stage IIIB-IV

Kienbock’s disease is a condition characterized by aseptic osteonecrosis of the lunate bone of the hand. It is a degenerative condition in which the lunate bone gradually deteriorates due to impaired blood supply, leading to pain, limited movement, and impaired hand function. The most common scale used in medical circles to assess this pathology is the Lichtman classification, which distinguishes four stages of the disease. There are many options for surgical treatment of aseptic necrosis of the lunate bone, and they still attract the interest of practicing surgeons, as there is no consensus on the choice of surgical treatment for a particular stage of the disease. 
Between 2021 and 2024, eight patients aged 31 to 64 underwent resection of the proximal row of wrist bones (scaphoid, lunate, and triquetral) due to Kienbock’s disease IIIB-IV stage according to the Lichtman classification. The authors studied and analyzed the separate results of treatment of these patients within 9 months to 3 years after surgery.

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