Kienböck's disease is a chondropathy of the lunate bone that can lead to its fragmentation and complete destruction. The main symptom of Kienböck's disease is wrist pain that worsens with movement. Then swelling occurs at the base of the hand, and gradually, there is a restriction of mobility in the wrist joint, which in turn causes decreased muscle function in the forearm and their atrophy.
At the Hand Surgery Center of Top Ihilov Clinic, successful surgeries for the restoration and removal of the lunate bone are performed. The surgeons at the Center possess the highest qualifications and extensive clinical experience, and they expertly handle the most modern medical equipment and innovative techniques.
Kienböck's Disease: Advantages of Treatment at Top Ihilov Clinic
One of the main causes of Kienböck's disease is a single or repetitive injury that leads to impaired blood supply to the wrist bones. Kienböck's disease is more common in individuals who work with significant physical strain on their hands.
At the Hand Surgery Center of Top Ihilov Clinic, orthopedic surgery specialists accurately and quickly diagnose Kienböck's disease, brilliantly performing surgeries that fully restore hand mobility.
The diagnosis of Kienböck's disease primarily involves X-rays of the wrist. Then, depending on the progression of the disease, the following procedures are performed:
- In the early stage of Kienböck's disease, a plaster cast is applied for 2-3 months to limit the mobility of the hand. After this period, the patient undergoes courses of massage, physiotherapy, and therapeutic exercise. If all these procedures do not lead to an improvement in condition, surgical treatment is applied.
- In the early stages of the disease, revascularization is performed to restore blood supply using a graft from the lower part of the radius with its blood vessels into the lunate bone. Bone grafting from the iliac crest or from the metacarpal bone is also possible. All these are technically complex operations performed using microsurgical methods. After the surgery, to ensure the grafted bone integrates and blood supply is restored, the hand is immobilized with a splint or orthosis for 3-4 weeks. After this, control X-rays are taken every 4 weeks to assess the healing process. Typically, the restoration of blood flow throughout the lunate bone takes 16-24 weeks.
- In more severe stages of Kienböck's disease, when complete destruction of the lunate bone occurs and restoration is impossible, the bone is completely removed (excision of the lunate bone). Previously, after the removal of the lunate bone, an empty space remained, disrupting the overall balance of the wrist bones. Today, techniques are used to replace the lunate bone with a tendon segment sutured to adjacent bones or an endoprosthesis of the lunate bone.