25695 Open treatment of lunate dislocation

Name of the Procedure:

Open Treatment of Lunate Dislocation

Summary

Open treatment of lunate dislocation is a surgical procedure to realign and stabilize a dislocated lunate bone in the wrist. This involves making an incision to access the bone, repositioning it, and securing it in place to restore normal wrist function.

Purpose

The procedure addresses lunate dislocation, a condition where the lunate bone in the wrist is displaced from its normal position. The goals are to alleviate pain, restore wrist stability and function, and prevent long-term complications such as arthritis.

Indications

• Severe wrist pain and swelling
• Visible deformity of the wrist
• Loss of wrist motion or function
• Failed non-surgical treatments
• Nerve compression symptoms

Preparation

• Fasting typically required for several hours before surgery
• Adjustments to regular medications as advised by the doctor
• Preoperative imaging tests like X-rays and MRI to assess the extent of dislocation

Procedure Description

1. Anesthesia: General or regional anesthesia is administered.
2. Incision: A surgical cut is made over the wrist to access the dislocated lunate.
3. Realignment: The lunate bone is carefully repositioned to its correct anatomical position.
4. Stabilization: Surgical hardware such as pins, screws, or wires may be used to hold the bone in place.
5. Closure: The incision is closed with sutures or staples, and a supportive dressing is applied.

Duration

The procedure typically takes 1-2 hours.

Setting

The procedure is performed in a hospital or surgical center.

Personnel

• Orthopedic surgeon
• Anesthesiologist
• Surgical nurses
• Operating room technician

Risks and Complications

• Infection
• Nerve or blood vessel damage
• Prolonged stiffness or loss of movement
• Non-union or improper healing
• Pain that persists post-surgery

Benefits

• Relief from pain and swelling
• Restored wrist stability and function
• Prevention of chronic wrist issues
• Reduced risk of developing arthritis

Recovery

• Pain management with prescribed medications
• Wearing a splint or cast for several weeks
• Physical therapy to regain strength and mobility
• Follow-up appointments to monitor healing
• Full recovery typically takes several months, with gradual resumption of normal activities

Alternatives

• Closed reduction and immobilization (non-surgical)
• Arthroscopic surgery
• Pros of alternatives: Less invasive, shorter recovery time
• Cons of alternatives: Higher risk of recurrence or incomplete healing

Patient Experience

• The patient will be under anesthesia and should not feel pain during the procedure.
• Post-surgery discomfort managed with medications.
• Initial swelling and limited wrist movement expected.
• Gradual improvements in wrist function with proper rehabilitation.