Ham S J, Konings J G, Nielsen H K
Academisch Ziekenhuis, afd. Orthopedie, Groningen.
Ned Tijdschr Geneeskd. 1990 Sep 15;134(37):1796-800.
From 1972 to 1982 a silicone implant arthroplasty was performed in 18 patients with Kienböck's disease grade III. In May 1988 all patients had a clinical and radiological re-examination. In the course of time reoperations were performed in 4 patients because of (sub)luxation of the prosthesis. Because of this operation most of the patients had less pain and retained an acceptable function of the wrist. Influence on working circumstances had been considerable in 8 patients. One patient received a disability pension because of this disease. Radiological examination often revealed increased degenerative changes in carpo-radial and intercarpal joints as well as proximal migration of the capitate. There was no clear relationship between residual complaints and function at the follow-up examination and the radiological findings.
1972年至1982年期间，对18例III级月骨无菌性坏死患者实施了硅胶植入关节成形术。1988年5月，对所有患者进行了临床和放射学复查。随着时间推移，4例患者因假体（半）脱位接受了再次手术。由于这次手术，大多数患者疼痛减轻，腕关节功能尚可。8例患者的工作环境受到了较大影响。1例患者因该病领取了残疾抚恤金。放射学检查常显示桡腕关节和腕骨间关节退变加重，以及头状骨近端移位。随访检查时，残留症状与功能以及放射学检查结果之间没有明确的关系。
