Ferrand Mathieu, Bellemere Philippe
Nantes Assistance Main, Clinique Jeanne d'Arc, Nantes, France.
J Wrist Surg. 2013 Nov;2(4):351-4. doi: 10.1055/s-0033-1358545.
Background Isolated lunocapitate disease is a rare situation. It includes both capitolunate arthritis and osteonecrosis of the capitate head. The management of this pathology is not defined yet. Case Description We treated three patients by resection of the capitate head and interposition of a so-called capitolunate Pi(2) implant (Tornier, BioProfile, Grenoble, France). We reported encouraging results at average follow-up of 4.8 years. Literature Review Several procedures have been reported in this indication. All suffer from lack of follow-up. Four-corner fusion seems to be the most reliable solution at the expense of wrist stiffness. Clinical Relevance case series.
孤立性月骨周围疾病是一种罕见情况。它包括月骨周围关节炎和头状骨头缺血性坏死。这种病理状况的治疗方法尚未明确。病例描述:我们通过切除头状骨头并植入一种所谓的月骨周围Pi(2)植入物(法国格勒诺布尔的 Tornier公司,BioProfile产品)治疗了三名患者。在平均4.8年的随访中,我们报告了令人鼓舞的结果。文献综述:针对该适应症已报道了几种手术方法。所有这些方法都缺乏随访。四角融合似乎是以腕关节僵硬为代价的最可靠解决方案。临床相关性:病例系列。