NECROSIS OSSIS LUNATI – TREATMENT ACCORDING TO OPERATION SEC SAFFAR
Authors:
Maroš Eľko 1; Roman Slodička 2; Peter Rovder 1; Eugen Lešo 1; Marián Regec 3
Authors place of work:
Department of Traumatology, S. Kukura Hospital, Michalovce
1; Oddelenie úrazovej chirurgie NsP Štefana Kukuru v Michalovciach, n. o.
1; Hand – and reconstruction (reconstructive) microsurgery , Robert-Koch – Krankenhaus Apolda
2; Oddelenie úrazovej a rekonštrukčnej chirurgie ruky, Robert-Koch - Krankenhaus Apolda
2; Remari s. r. o., Snina
3; Remari s. r. o., chirurgická ambulancia , Snina
3
Published in the journal:
Úraz chir. 15., 2007, č.3
Summary
Purpose:
Necrosis of the os lunatum is very rare diagnosis. The purpose of this study is introduction of the operative treatment of this diagnosis with revascularisation – transposition of the os pisiforme with vascular pedicle into the os lunatum – operation sec. Saffar.
Methods:
In our study we introduce diagnostic modalities and options of the treatment of Morbus Kienböck with detailed anatomical description and operative technique.
Conclusions:
With our operative technique we assume the preservation of proximal carpal bones as well as biomechanical and geometric parameters of the wrist and the hand that allows patients to come back to their normal way of life without any limitations.
Key words:
lunate bone necrosis, lunate revascularisation, Saffar operation.
Zdroje
1. BARTONÍČEK, J., HEŘT, J. Základy klinické anatomie pohybového aparátu. Praha: Maxdorf, 2004. 256 s.
2. CANALE, S.T. Campbell´s Operative Orthopaedics. 9 ed. Mosby: Inc, 1998. 4076 s.
3. DUNGL, P. a kol. Ortopedie. Praha: Grada Publishing, a.s. 2005. 1273 s.
4. DAECKE, W., LORENZ, S., WIELOCH, P. et al. Lunate Resection nad Vascularized Os pisiform Transfer in Kienbockś Disease: An Average of 10 Years of Follow-Up Study After Saffarś Procedure. J Hand Surg. 2005, 30A, 677–684.
5. DAECKE, W., LORENZ, S., WIELOCH, P. et al. Vascularized Os pisiform for Reinforcement of the lunate in Kienbockś Disease: An Average of 12 Years of Follow-Up Study. J Hand Surg. Sept. 2005, 30A, 915–922.
6. MORAN, S.L., COONEY, W.P., BERGER, R.A. et al. The Use of the 4+5 Extensor Compartmental Vascularized Bone Graft for the Treatment of Kin-bockś Disease. J Hand Surg. 2005, 30A, 50–58.
7. PECH, J., NAŇKA, O., POKORNÝ, D. Technika transpozice os pisiforme pri léčbě m. Kienbock. Acta Chir orthop Traumat. Čech. 1999, 66, 171–176.
8. SAFFAR, P. Traitement de la maladie de kienbock par le transfert du pisiforme pédiculé sur ses vaisse-aux et le cubital antérieur. Suppl. II. Rev Chir Orthop.1985, 52, 66–71.
Štítky
Surgery Traumatology Trauma surgeryČlánok vyšiel v časopise
Trauma Surgery
2007 Číslo 3
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