ArticlesManagement of Wrist Arthritis Secondary to Advanced Kienbock DiseaseElhassan, Bassem MD; Shin, Alexander Y. MDAuthor Information From the Department of Hand and Microvascular Surgery, Mayo Clinic, Rochester, MN. Reprints: Alexander Y. Shin, MD, 200 1st Street SW, Rochester, MN 55905. E-mail: [email protected] Techniques in Orthopaedics: March 2009 - Volume 24 - Issue 1 - p 27-31 doi: 10.1097/BTO.0b013e3181a07ec8 Buy Metrics Abstract Summary: This review will discuss various surgical options available to the hand surgeon treating advanced Kienbock disease. Development of the extensive wrist arthritis changes seen in stage IV Kienbock disease is a contraindication to techniques which focus on lunate unloading or revasuclarization. Instead, the focus must be on salvage procedures, such as total wrist arthrodesis, proximal row carpectomy, total wrist arthroplasty, or lunate arthroplasty (excision alone, or with various implants). © 2009 Lippincott Williams & Wilkins, Inc.