Yang Z M
Zhonghua Wai Ke Za Zhi. 1989 Apr;27(4):207-8, 252-3.
Since 1986, 7 necrosed lunate bones (Kienbock disease) in 7 patients were replaced by the nearby pisiform bone with a pedicle of its own nutrient vessels and tendon of the flexor carpi ulnaris. Anatomically, the situation of the pisiform, after being released, is fit for proximal and radioward transfer; the size of the pisiform together with soft tissue surrounding it is, after being rotated 90 degrees, just apt to fill the dimensional space left by the lunate excised. Follow-up for 4 to 18 months manifested satisfactory results. The operative technic is described in detail.
自1986年以来，7例患者的7块坏死月骨（Kienböck病）被附近带自身营养血管蒂和尺侧腕屈肌腱的豌豆骨所替代。从解剖学角度来看，豌豆骨松解后适合向近端和桡侧转移；豌豆骨及其周围软组织旋转90度后，其大小恰好适合填充切除月骨后留下的空间。随访4至18个月，结果令人满意。本文详细描述了手术技术。
