Zelouf D S, Ruby L K
Department of Orthopaedic Surgery, New England Medical Center, Boston, MA, USA.
J Hand Surg Am. 1996 Sep;21(5):746-53. doi: 10.1016/S0363-5023(96)80186-9.
Between 1985 and 1990, 17 patients with histologically proven Kienböck's disease (Lichtman stages I, II, and III) underwent a combination of cancellous bone grafting to the lunate and external fixation across the wrist. All 17 patients were available for review with a minimum follow-up of 2 years (average, 47 years). Based on pain, functional status, range of motion, and grip strength (Mayo wrist score), there were 6 excellent, 6 good, 2 fair, and 3 poor results (2 of whom required further surgery). An overall success rate of 71% (12 of 17) was achieved. Ten patients underwent postoperative magnetic resonance scanning, and in 5, some improvement in signal intensity was demonstrated. The combination of cancellous bone grafting and external fixation is an alternative treatment for Kienböck's disease.
1985年至1990年间，17例经组织学证实为月骨无菌性坏死（Lichtman分期I、II和III期）的患者接受了月骨松质骨移植联合腕关节外固定治疗。所有17例患者均接受了复查，随访时间最短为2年（平均47年）。根据疼痛、功能状态、活动范围和握力（Mayo腕关节评分），结果为6例优、6例良、2例可、3例差（其中2例需要进一步手术）。总体成功率为71%（17例中的12例）。10例患者术后接受了磁共振扫描，其中5例显示信号强度有所改善。松质骨移植联合外固定是月骨无菌性坏死的一种替代治疗方法。
