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[血管蒂骨移位治疗月骨晚期坏死的结果]

[Results of vascular pedicled bone transposition in advanced necrosis of the lunate bone].

作者信息

Martini A K

机构信息

Stiftung Orthopädische Klinik und Poliklinik, Universität Heidelberg.

出版信息

Handchir Mikrochir Plast Chir. 1987 Nov;19(6):318-21.

PMID:3319823
Abstract

Beck (1971) recommended transposition of the pisiform bone into the lunate bone for treatment of lunatomalacia in stage I. In the period from 1979 to 1983, this operation was carried out in 12 patients with lunatomalacia in the Orthopaedic Division, University of Heidelberg-Schlierbach. The operation was carried out in five patients with stage II, six patients with stage III and in one patient with stage IV. In five patients, the operation was carried out in combination with shortening of the radius and in one patient in combination with wrist denervation. The transponants healed in all patients. However, restoration of the bone structure and the form of the lunate bone could only be attained after radius shortening. Special attention must be paid to the variance of the forearm bones in selecting the correct procedure in lunatomalacia.

摘要

贝克(1971年)推荐将豌豆骨转位至月骨,用于治疗I期月骨软化症。1979年至1983年期间,海德堡大学施利尔巴赫分校骨科为12例月骨软化症患者实施了该手术。其中,II期患者5例,III期患者6例,IV期患者1例。5例患者的手术与桡骨缩短术联合进行,1例患者的手术与腕部去神经术联合进行。所有患者的转位骨均愈合。然而,只有在桡骨缩短后,月骨的骨结构和形态才能恢复。在选择月骨软化症的正确治疗方法时,必须特别注意前臂骨的差异。

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