PREOPERATIVE FACTORS AND OUTCOME AFTER LUNATE DECOMPRESSION FOR KIENBOCKS-DISEASE

被引：29
作者：
CONDIT, DP
IDLER, RS
FISCHER, TJ
HASTINGS, H
机构：
[1] Indiana Hand Center, Indianapolis, IN
来源：
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1993年 / 18A卷 / 04期
关键词：
D O I：
10.1016/0363-5023(93)90320-3
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Preoperative factors and outcome were studied after lunate decompression for Kienbock's disease. Twenty-three patients treated with radial shortening or scaphoid-trapezium-trapezoid fusion were evaluated. The mean follow-up was 59 months. Neither good nor excellent outcomes were found with either lunate-preserving procedure when the preoperative radioscaphoid angle was greater than 60 degrees. Outcomes in the radial shortening osteotomy group were superior to those in the group treated with scaphoid-trapezium-trapezoid fusion. Lunate collapse was not prevented by either treatment method. Lunate index, carpal height, and staging did not correlate with outcome. Measurement of radioscaphoid angle provides predictive information regarding the outcome of stage III (Decoulx/Lichtman) Kienbock's disease treated with radial shortening or scaphoid-trapezium-trapezoid fusion.
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页码：691 / 696
页数：6
相关论文
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