目的:介紹以骨間前動脈背側支為蒂的頭狀骨移位治療晚期月骨無菌性壞死。方法:對7例Lichtman分Ⅲ、Ⅳ期月骨無菌性壞死患者采用壞死月骨摘除,以骨間前動脈背側支為蒂的頭狀骨移位替代壞死月骨。結果:術后隨訪1～5年,平均32個月,移位頭狀骨有可靠血運,6例腕痛消失,1例仍有輕度腕痛,優良率100%。結論:應用該法替代月骨支撐腕關節,符合腕關節功能解剖,是治療Ⅲ、Ⅳ期月骨無菌性壞死的有效方法。
Citation： TANG Shitian,HUANG Huguo,WANG Jun,et al. Capitates Transposition for Treatment of Kienbocks Disease in Advanced Stage. West China Medical Journal, 2009, 24(4): 829-830. doi: Copy
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