{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T08:06:58Z","timestamp":1789632418194,"version":"build-2803163510"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Radiolunate (RL) fusion is a selective salvage procedure for focal post-traumatic radiolunate arthritis, designed to address an isolated radiolunate lesion while preserving the uninvolved wrist compartments. Compared with radioscapholunate fusion, isolated radiolunate fusion preserves the radioscaphoid articulation and may theoretically favor preservation of the dart-throwing motion. Technical descriptions of RL fusion remain limited, particularly for the arthroscopic approach. This article describes a stepwise arthroscopic technique based on precise identification of the radial scapholunate crest and the triangular fibrocartilage complex, controlled osteochondral preparation of the lunate fossa and proximal lunate, arthroscopic cancellous bone grafting, and percutaneous compression screw fixation. The aim of the procedure is to obtain a focused fusion while minimizing capsular disruption, preserving vascularity and ligamentous attachments, and facilitating postoperative recovery.<\/jats:p>","DOI":"10.1097\/bth.0000000000000571","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T08:00:07Z","timestamp":1789632007000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Arthroscopic Radiolunate Fusion: Surgical Technique"],"prefix":"10.1097","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6166-4463","authenticated-orcid":false,"given":"Jean-Baptiste","family":"de Villeneuve Bargemon","sequence":"first","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery, AP-HM, H\u00f4pital de la Timone"},{"name":"Institute of Movement and Locomotor System (IML), Sainte-Marguerite Hospital (University)"},{"name":"Wrist and Hand Academy for Research in the Mediterranean (WHARM), Marseille"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Daoulas","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Hand Surgery, Brest University Hospital (CHU de Brest), Brest, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas","family":"Audiffret","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery, AP-HM, H\u00f4pital de la Timone"},{"name":"Institute of Movement and Locomotor System (IML), Sainte-Marguerite Hospital (University)"},{"name":"Wrist and Hand Academy for Research in the Mediterranean (WHARM), Marseille"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camille","family":"Brenac","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery, AP-HM, H\u00f4pital de la Timone"},{"name":"Institute of Movement and Locomotor System (IML), Sainte-Marguerite Hospital (University)"},{"name":"Wrist and Hand Academy for Research in the Mediterranean (WHARM), Marseille"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"R1-20260917","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1016\/j.hcl.2017.07.013","article-title":"Arthroscopic-assisted partial wrist arthrodesis","volume":"33","author":"Baur","year":"2017","journal-title":"Hand Clin"},{"key":"R2-20260917","doi-asserted-by":"crossref","DOI":"10.1177\/17531934261425115","article-title":"Implant removal combined with total wrist denervation for painful intra-articular distal radial malunions: a prospective study","author":"Brenac","year":"2026","journal-title":"J Hand Surg Eur Vol"},{"key":"R3-20260917","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1016\/j.hcl.2017.07.016","article-title":"Arthroscopic transplantation of osteochondral autograft for treatment of cartilage defects in the wrist","volume":"33","author":"Ho","year":"2017","journal-title":"Hand Clinics"},{"key":"R4-20260917","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1055\/s-0033-1351788","article-title":"Arthroscopic osteochondral grafting for radiocarpal joint defects","volume":"02","author":"Ho","year":"2013","journal-title":"Jnl Wrist Surg"},{"key":"R5-20260917","first-page":"144","article-title":"Total wrist arthrodesis: an update on indications technique and outcomes","volume":"11","author":"RODRIGUEZMERCHAN","year":"2023","journal-title":"ABJS"},{"key":"R6-20260917","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1097\/BTH.0b013e318190244b","article-title":"Arthroscopic partial wrist fusion","volume":"12","author":"Ho","year":"2008","journal-title":"Tech Hand Upper Extremity Surg"},{"key":"R7-20260917","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.jhsg.2020.12.003","article-title":"A systematic review of radiolunate and radioscapholunate arthrodesis","volume":"3","author":"Fakunle","year":"2021","journal-title":"J Hand Surg Glob Online"},{"key":"R8-20260917","doi-asserted-by":"crossref","first-page":"420.e1","DOI":"10.1016\/j.jhsa.2018.07.009","article-title":"The effect of radioscapholunate fusion with and without distal scaphoid and triquetrum excision on capitolunate contact pressures","volume":"44","author":"McNary","year":"2019","journal-title":"J Hand Surg"},{"key":"R9-20260917","first-page":"e1081","article-title":"Arthroscopic radioscapholunate fusion: surgical technique","volume":"11","author":"de Villeneuve Bargemon","year":"2022","journal-title":"Arthroscopy Techniques"},{"key":"R10-20260917","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1016\/j.hansur.2020.04.002","article-title":"Radioscapholunate arthrodesis versus radiolunate arthrodesis in rheumatoid wrist surgery: clinical and radiographic outcomes","volume":"39","author":"Arboucalot","year":"2020","journal-title":"Hand Surg Rehabil"},{"key":"R11-20260917","doi-asserted-by":"crossref","first-page":"069","DOI":"10.1055\/s-0041-1732412","article-title":"Biomechanical comparison of dart-throw motions after partial wrist fusions","volume":"11","author":"Oluyede","year":"2022","journal-title":"J Wrist Surg"},{"key":"R12-20260917","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1055\/s-0034-1387707","article-title":"(Dry) Arthroscopic partial wrist arthrodesis: tips and tricks","volume":"46","author":"del Pi\u00f1al","year":"2014","journal-title":"Handchir Mikrochir plast Chir"},{"key":"R13-20260917","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.jhsa.2020.01.012","article-title":"Dry wrist arthroscopy for radial-sided wrist disorders","volume":"45","author":"Kakar","year":"2020","journal-title":"J Hand Surg"},{"key":"R14-20260917","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1055\/s-0042-1751014","article-title":"How to optimize a bone graft in arthroscopy of the wrist: the \u201cGun Barrel Trick.\u201d","volume":"11","author":"de Villeneuve Bargemon","year":"2022","journal-title":"J Wrist Surg"},{"key":"R15-20260917","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1177\/17531934241312333","article-title":"Arthroscopic treatment of scaphoid nonunion with debridement and cancellous bone grafting before or after K-wire fixation","volume":"50","author":"Quemener\u2013Tanguy","year":"2025","journal-title":"J Hand Surg Eur Vol"}],"container-title":["Techniques in Hand &amp; Upper Extremity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1097\/BTH.0000000000000571","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T08:00:10Z","timestamp":1789632010000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1097\/BTH.0000000000000571"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,17]]},"references-count":15,"URL":"https:\/\/doi.org\/10.1097\/bth.0000000000000571","relation":{},"ISSN":["1531-6572","1089-3393"],"issn-type":[{"value":"1531-6572","type":"electronic"},{"value":"1089-3393","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9,17]]},"assertion":[{"value":"2026-06-23","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}