Archives of Reconstructive Microsurgery

The Korean Society for Microsurgery (대한미세수술학회)
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Lunate Excision and Vascularized Os Pisiform Transfer in Advanced Kienb$\ddot{o}$ck's Disease

월상 골 제거 및 혈관부착 두상 골 이식으로 치료한 진행된 키엔벡 병

  • Lee, Joo-Yup (Department of Orthopedic Surgery, College of Medicine, The Catholic University of Korea) ;
  • Kim, Hyoung-Min (Department of Orthopedic Surgery, College of Medicine, The Catholic University of Korea) ;
  • Chung, Yang-Guk (Department of Orthopedic Surgery, College of Medicine, The Catholic University of Korea) ;
  • Jin, Sung-Ki (Department of Orthopedic Surgery, College of Medicine, The Catholic University of Korea) ;
  • Park, Il-Jung (Department of Orthopedic Surgery, College of Medicine, The Catholic University of Korea)
  • 이주엽 (가톨릭대학교 의과대학 정형외과학교실) ;
  • 김형민 (가톨릭대학교 의과대학 정형외과학교실) ;
  • 정양국 (가톨릭대학교 의과대학 정형외과학교실) ;
  • 진성기 (가톨릭대학교 의과대학 정형외과학교실) ;
  • 박일중 (가톨릭대학교 의과대학 정형외과학교실)
  • Published : 2008.11.30
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Abstract

Purpose: There are many controversies concerning therapeutic guidelines for the treatment of Kienb$\ddot{o}$ck's disease. The purpose of this study is to evaluate the clinical and radiological result of lunate replacement by vascularized os pisiform transfer in advanced Kienb$\ddot{o}$ck's disease. Materials & Methods: There were two men and three women. The mean age was 55 years, ranging from 41 to 70. According to Lichtman's classification, three cases were stage IIIb and two cases were stage IV. Results: At the period of follow up, pain during motion was markedly diminished in all patients, the arc of motion ranged on average from 49 degrees of flexion to 53 degrees of extension and the grip power of the affected hand reached on average 83% compared with the contralateral side. Clinical results assessed by DASH and modified Mayo score showed 8 and 90. On plain X-rays, carpal height ratio and radioscaphoid angle were not changed postoperatively. Conclusion: Lunate excision and vascularized os pisiform transfer is a reliable alternative method for the treatment of advanced Kienb$\ddot{o}$ck's disease.

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