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Rare disease
CASE REPORT
More than 40 years’ follow-up of an unconstrained metal lunate replacement for the treatment of Kienböck’s disease
  1. Hammad Parwaiz,
  2. Sherif Elnikety
  1. Trauma and Orthopaedics, Royal United Hospital Bath NHS Trust, Bath, UK
  1. Correspondence to Mr Sherif Elnikety, selnikety{at}nhs.net

Summary

Kienböck’s disease is characterised by avascular necrosis of the lunate bone, and over the years it has been a challenging disease to manage, with differing opinions on the best intervention. We present an interesting case of a metallic unconstrained lunate replacement that is still functioning well in a patient 40 years after surgery. This case report represents the longest follow-up of any such prosthesis.

  • orthopaedics
  • pathology
  • radiology
  • orthopaedic and trauma surgery

https://doi.org/10.1136/bcr-2017-223546

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    Footnotes

    • Contributors HP analysed data, performed review of current literature and prepared and wrote the manuscript for submission. SE treated the patient who is mentioned in the case report, consented them for use of their data for publishing, helped to write the paper and obtained images used in the paper. Both authors have seen and approved of the manuscript proof prior to submission.

    • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.