‘Osteonecrosis of the lunate’- Kienbock’s Disease
As a living Tissue the bone essentially requires:
continuous blood supply to enable functionality. Interruption in the blood supply can make the bone die being referred to as Osteonecrosis. Blood supply can be hindered because of a severe traumatic injury, fracture or dislocation or even without any concrete cause. But if not treated, osteonecrosis can cause the joint to deteriorate and result in severe arthritis.
The wrist is made of a framework :
of eight carpal bones. These carpal bones provide mobility and flexibility to the wrist of a human hand. One among the eight carpal bones is ‘The Lunate’. When blood supply to the lunate gets interrupted it causes clinical death of the bone or avascular necrosis leading to the disease which is known as Kienbock’s disease, a rare and debilitating medical condition resulting in chronic impairment.
Cause of Kienbock’s being unfathomable:
may seem to be just a sprain initially. When pain, numbness, swelling, limited motion ability with decrease in grip strength is visible, then it is relatively diagnosed by various imaging tests and concluded that the patient might be suffering from Kienbock’s disease. The hand specialist Dr. Gupta formulates a treatment plan accordingly to restore the lunate by both surgical or non surgical techniques.
OPD Hours
An Insight into Dr. Vikas’s professional profile
Deft and efficient in his field Dr. Gupta has been the first surgeon or specialist to introduce the importance of upper extremity functionalities in India. He has more than 20 years of experience and with having conducted more than 6000 surgeries, he is a craftsman who restores or reshapes any debilitating upper limb or joint. An MBBS and MS Ortho from AIIMS, he strives to selflessly serve his patients with innovative and revolutionary techniques painlessly.
Being rewarded with many awards for his contribution in the field of upper extremity he is felicitated by his fellow doctors and juniors for lectures and presentations regularly. He is the first surgeon to bring many international techniques to India and perform them without any complications with 100 percent success rate.
Why choose us?
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Dr. Vikas Gupta is the first surgeon to perform wrist replacement (Ceramic on ceramic) in India .
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Dr. Vikas Gupta is the first surgeon to perform revision wrist replacement in India .
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Trigger finger release performed by dr Vikas gupta is either percutanous (without skin incision) or minimally invasive (less than 1cm) incision
Hand Surgery Clinic on National Geographic
Case operated by Dr. Vikas Gupta covered by National Geographic Team for serial "Emergency Room". This video highlights careless attitude can lead to grievous injuries which can lead to permanent disability and these if treated properly on time can bring back person towards normal life.....
What they say about us!
Non surgical techniques:
This involves treatment by conservative techniques such as anti inflammatory medicines, non steroid injections, putting your wrist in a cast or splint to immobilize the wrist bone which may bring back blood supply to the lunate and lastly therapy exercises to relax and stretch the muscles. read more...
Revascularization surgical technique:
This technique is adopted by the surgeon before the lunate is completely damaged. Under it the surgeon performs vascularized graft, a technique with which the surgeon replaces the non active lunate with a part of bone with blood vessels taken out from another part of the body and then fixes the bones temporarily together by means of external fixators to enable healing. read more...
Joint Leveling Surgical Technique:
when lunate is under pressure because of difference in ulna and radius bone length, the surgeon brings them to equal length by either using bone graft to increase the length or reduce it by removing the excess portion of the bone to bring reduction in further deterioration of the lunate. read more...
Proximal Row Carpectomy Surgical Technique:
When the lunate is severely damaged, the surgeon might remove the lunate bone along with two other bones completely to bring back partial mobility in the wrist.read more...
Fusion Surgical Technique:
under this technique either some bones of the wrist are fused together to enable them to function as a single bone and bring back partial mobility or all the bones of the wrist are fused together to enable forearm to work normally but the mobility in the wrist cannot be restored back. read more...
Implant Arthroplasty Surgical Technique:
Under this relatively newer technique, a prosthetic replica of lunate made from pyrolytic carbon material is implanted in place of the original one to help other bones to retain their normal functioning and enables wrist movement. read more...
