月骨无菌性坏死的治疗结果综述。
Review of treatment results for Kienbock's disease.
作者信息
Kuschner S H, Brien W W, Bindiger A, Sherman R
机构信息
Department of Orthopaedics, University of Southern California, Los Angeles.
出版信息
Orthop Rev. 1992 Jun;21(6):717-28.
A review of the literature reveals that Kienbock's disease has been treated in many different ways. Excision of the lunate, with or without replacement arthroplasty, and joint-leveling procedures (radial shortening or ulnar lengthening) are the most popular procedures, but other methods of treatment (nonoperative, wrist denervation, lunate revascularization, intercarpal arthrodesis and proximal-row carpectomy) have also been performed. Based on our current understanding of the etiology, a joint-leveling procedure seems to make the most sense when surgery is indicated. However, other procedures have yielded a high success rate as well.
文献回顾显示，月骨无菌性坏死已采用多种不同方法进行治疗。月骨切除术，伴或不伴置换关节成形术，以及关节平整手术（桡骨缩短或尺骨延长）是最常用的手术方法，但也已实施了其他治疗方法（非手术治疗、腕部去神经支配、月骨血运重建、腕骨间关节融合术和近排腕骨切除术）。基于我们目前对病因的理解，当需要手术治疗时，关节平整手术似乎最合理。然而，其他手术方法也取得了很高的成功率。
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