Ehall R, Neubauer W, Stampfel O
Chirurgischen Universitätsklinik Graz, Department für Orthopädie.
Handchir Mikrochir Plast Chir. 1989 Jan;21(1):41-7.
All operations for lunatomalacia are linked to considerable alteration and functional loss of the afflicted wrist joint. The risk of secondary arthrosis due to incongruity is very high, and not only because of the complicated biomechanics of the carpal bones. The authors present their experiences and results with seventeen patients treated for Kienböck's disease, of whom fourteen have been reviewed, by a modification of the operation described by Orlando Graner. On the basis of this evaluation and comparison to the results described by other authors, the method of Graner seems to be definitely suitable, even for younger patients. The disadvantage of the relatively obvious restriction in mobility is offset by a nearly complete freedom from pain, full strength, and only minor secondary arthrosis, even with long postoperative periods.
所有针对月骨软化症的手术都会导致患侧腕关节出现明显的结构改变和功能丧失。由于关节不匹配导致继发性关节炎的风险非常高，这不仅仅是因为腕骨复杂的生物力学原因。作者介绍了他们采用奥兰多·格拉纳描述的手术改良方法治疗17例月骨无菌性坏死患者的经验和结果，其中14例患者接受了复查。基于这一评估并与其他作者描述的结果进行比较，格拉纳的方法似乎确实适用，即使对于年轻患者也是如此。相对明显的活动受限这一缺点被几乎完全无痛、力量完全恢复以及即使术后时间较长也仅有轻微继发性关节炎所抵消。
