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《CHINESE JOURNAL OF ORTHOPAEDICS》 1996-01
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TreatmentofKienbock'sDiseasebyTransferofPedicledPisiformBoneforReplacementofLunate

PeiFuxing,YangZhiming,HuangFuguo,etal.DepartmentofOrthopaedics,FirstAffiliatedHospi-tal,WestChinaUniversityofMedicalSciences,Chengdu610041  
FromMarch1986-June1993,18casesofKienbock'sdiseaseweretreatedbytransferofpedicledpisiformboneforreplacementoflunate.Amongthe18patients,11weremalesand7werefemales,andtheiragesaveraged29years.ThestageofpatientswereclassifiedaccordingtothemethodofLichtman.TwocaseswereinstageⅡ,16casesinstageⅢ.Amongthe16casesinstageⅢ,inter-carpalfusionwereperformedatthesametimein8cases.Alpatientswerefolowedupfor25~51monthswithanaverageof3yearsand1month.Completereliefofpainwasobtainedin17patients.Rangesofmotionofwristandgripstrengthwereimproved.X-rayfilmshowedthatthepositionofthepedicledpisiformbonewasinsite.Therewasnosignificantdiferenceincarpalheightratio、McMurray'sindexorradio-scaphoidanglebeforeandafteroperation.ThepatientswereevaluatedbyZhouLianqi'smethod:Twelvepatientswereexcelent,5patientsgoodand1patientfair.WeconsideredthatthetransferofpedicledpisiformboneinreplacementoflunatewasanefectivemethodforthetreatmentofKienbock'sdiseaseofstageⅢ.
【CateGory Index】: R681.7
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