Lunate Core Decompression is a surgical technique that is primarily used for the treatment of Kienbӧck’s Disease.

Lunate Core Decompression


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Procedure

Lunate core decompression is a surgical technique that is primarily used for the treatment of Kienbӧck’s Disease. This is a rare bone disorder that affects the lunate, which is one of the wrist bones, and it affects the blood supply to this bone. During this procedure, the surgeon will make a small incision on the back of the wrist to access the bone before decompressing this area to improve blood flow.

This procedure can be performed arthroscopically or using an open technique. The decision of how to approach this procedure is dependent on the doctor and the severity of the patient’s condition. Prior to undergoing this procedure, patients will join their doctor for a consultation to determine their goals and help patients understand what to expect.

When is This Procedure Necessary?

Lunate core decompression may become medically necessary for patients with advanced avascular necrosis that affects the lunate bone in the wrist. If this condition goes untreated, it can cause the tissue to deteriorate and ultimately the bone as well. Symptoms include wrist pain, restricted range of motion, and grip weakness.

Prior to recommending surgery, doctors will typically suggest that patients try conservative treatments like immobilization or medication. If these treatments do provide effective relief, lunate core decompression may become necessary.

 

What To Expect

Lunate core decompression is a simple procedure that has been proven to successfully treat patients with Kienbӧck’s Disease. Patients are under general anesthesia to ensure their comfort throughout the procedure. The process involves making an incision on the back of the wrist and drilling a hole into the lunate bone through which necrotic tissue is removed. Additionally, this creates channels for new blood vessels to form, promoting healthy bone regeneration. In some cases, grafts or other biological substances may be implanted to support healing.

Once completed, the incision is closed, and patients are typically required to wear a splint or cast to immobilize their wrist during the initial recovery period. Although recovery time varies, patients can often expect several months before they regain normal function and experience reduced pain in their affected wrists. It should be noted that consultation with a qualified medical professional is vital in determining whether a lunate core decompression procedure is warranted based on an individual patient’s circumstances and symptoms

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