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《The Journal of Bone and Joint Injury》 2003-05
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Capitate Transposition for Treatment of Kienbcks Disease in Advanced Stage

Chen Xuerong,Zhou Ping,Sun Wendong,et al.Department of Orthopeadics Shaoxing City Peoples Hospital,Shaoxing,312000  
Objective To introduce a surgical procedure of capitate ttransposition based on the dorsal branch of the anterior interosseous artery for treatment of Kienbcks disease in advanced stage.Methods Eighteen patients with Kienbcks disease of stage Ⅲ and Ⅳ were involved in this study.The necrosed lunate were excised with capitate transposition based on the dorsal branch of the anterior interosseous artery.Results All patients were followed up for 1~5 years,with an average of 32 months.The transposition capitate had a reliable blood supply.Relief of pain was obtained in sixteen cases,and two patients experienced mild pain.All patients returned to their normal wrist functions.Conclusion This procedure can replace the lunate for sustaining function of wrist, and is in accordance with the functional anatomy of wrist.It is an effective method to treat Kienbcks disease of stage Ⅲ and Ⅳ.
【CateGory Index】: R687.3
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