Lichtman D M, Mack G R, MacDonald R I, Gunther S F, Wilson J N
J Bone Joint Surg Am. 1977 Oct;59(7):899-908.
A review of thirty-eight patients with Kienböck's disease indicated that both delay in diagnosis and prolonged treatment by plaster immobilization led to progressive collapse of the lunate and an unsatisfactory result in most instances. Four clinical and roentgenographic stages were identified, and the results of silicone replacement arthroplasty were correlated with the preoperative stage after an average follow-up of twenty-seven months. The results were satisfactory in fourteen of twenty wrists in which the procedure was performed before collapse of the lunate had occurred. The importance of early diagnosis and early surgical treatment of this disorder was emphasized by the findings in this study.
对38例月骨无菌性坏死患者的回顾显示，诊断延迟以及采用石膏固定的长期治疗导致月骨进行性塌陷，在大多数情况下结果均不理想。确定了四个临床和X线分期，并在平均随访27个月后，将硅胶置换关节成形术的结果与术前分期进行了关联。在月骨塌陷前进行该手术的20例腕关节中，有14例结果令人满意。本研究结果强调了对该疾病进行早期诊断和早期手术治疗的重要性。
