J Korean Orthop Assoc.  2021 Dec;56(6):461-471. 10.4055/jkoa.2021.56.6.461.

What is the Optimal Treatment for Kienböck’s Disease?

  • 1Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea


Kienböck’s disease is known as avascular necrosis of the lunar bone, but its natural course or optimal treatment in various stages has not been identified clearly. The textbook divides the progression of the disease and suggests treatment methods according to the stages, but it is unclear if conforming to the principle without sufficient verification is the correct treatment method. While diagnosing and treating many Kienböck’s diseases, the author has had many questions regarding the treatment choices described in the textbook and tried to establish an optimal treatment based on data evidence and experience. This review presents the most appropriate and reasonable treatment method while questioning whether the previous knowledge is based on an accurate basis.


Kienböck’s disease; avascular necrosis of lunate; conservative management; surgical treatment
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