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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2025; 53(01): e4-e12
DOI: 10.1055/s-0045-1809556
DOI: 10.1055/s-0045-1809556
Artículo de Actualización | Update Article
Tratamiento de la enfermedad de Kienbock: Pasado, presente y futuro
Article in several languages: español | English
Resumen
Existen múltiples enfoques para tratar la enfermedad de Kienböck, que varían según la edad del paciente, la etapa de la enfermedad y la viabilidad del semilunar. Los tratamientos han evolucionado, pasando desde correcciones de la dismetría radiocubital y descompresión del semilunar en fases tempranas, hasta la extirpación del semilunar o la colocación de prótesis en etapas más avanzadas. También se consideran opciones como la revascularización con injertos óseos y técnicas paliativas, que incluyen artrodesis parcial o total de la muñeca. En este artículo de actualización, abordamos los diferentes tratamientos disponibles y exponemos nuestra preferencia terapéutica, basándonos en la evidencia actual, con el objetivo de colaborar en el manejo de la enfermedad de Kienböck.
Publication History
Received: 26 March 2025
Accepted: 02 May 2025
Article published online:
21 July 2025
© 2025. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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