在平均10.7年的随访中，晚期月骨无菌性坏死采用舟头骨融合术联合月骨切除术的结果。
Results of scaphocapitate arthrodesis with lunate excision in advanced Kienböck disease at 10.7-year mean follow-up.
作者信息
Charre Amaury, Delclaux Stephanie, Apredoai Costel, Ayel Jean-Emmanuel, Rongieres Michel, Mansat Pierre
机构信息
1 Institut locomoteur University Hospital, Toulouse, France.
2 Clinique des cédres Cornebarrieu, France.
出版信息
J Hand Surg Eur Vol. 2018 May;43(4):362-368. doi: 10.1177/1753193417739247. Epub 2017 Nov 6.
UNLABELLED
Scaphocapitate arthrodesis with lunate excision was performed for treatment of advanced Kienböck disease in 17 patients (18 wrists). Ten were women and seven men. Five were Lichtmann Stage IIIA, 12 Stage IIIB, and one Stage IV. Minimum follow-up period was 24 months; mean follow-up was 10.7 years (range 2.3 to 22 years, SD 7.1). At the latest follow-up, six patients were very satisfied, nine were satisfied and two were disappointed. Pain was significantly decreased in all cases. Wrist mobility was unchanged. Grip strength was significantly increased. Consolidation of the arthrodesis was confirmed in 17 wrists. We encountered a scaphocapitate nonunion at 12 years follow-up and two cases of styloscaphoid arthritis at 17 and 22 years. Scaphocapitate arthrodesis with lunate excision performed in an advanced stage of Kienböck disease significantly alleviates pain, while preserving functional mobility and satisfactory grip strength in the long term.
LEVEL OF EVIDENCE
IV.
未标注
对17例患者（18个腕关节）采用舟月骨融合术联合月骨切除术治疗晚期Kienböck病。其中女性10例，男性7例。Lichtmann分期ⅢA期5例，ⅢB期12例，Ⅳ期1例。最短随访期为24个月；平均随访10.7年（范围2.3至22年，标准差7.1）。在最近一次随访时，6例患者非常满意，9例满意，2例不满意。所有病例疼痛均显著减轻。腕关节活动度无变化。握力显著增加。17个腕关节的融合得到确认。在12年随访时出现1例舟头关节不愈合，在17年和22年时出现2例茎突舟状骨关节炎。在Kienböck病晚期进行舟月骨融合术联合月骨切除术可显著减轻疼痛，同时长期保持功能活动度和令人满意的握力。
证据等级
Ⅳ级。
Zotero 插件