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Scripta Scientifica Medica

EXCISION OF OS LUNATUM IN THE TREATMENT OF LUNATOMALACIA

D. Kamburov

Abstract

The small size of Os lunatum and its nature as an articulation element which movement is similar to that of a "tank track" reduces the opportunities for free functioning of the radiocarpal joint after lunate damage. During a 15-year period (1982-1997) a total of 13 patients underwent an excision of Os lunatum. They were 9 males and 4 females aged between38 and 60 years (mean age of 41 years and 3 months). Eight patients were at 111A stage after Lichtman, two - at II1Ð’, and three - at IV stage of the disease. Intercarpal arthodesis after O. Craner (1966) was additionally performed in 9 patients after extirpation  of Os lunatum under conditions of a severe lunate collapse. A good result (of 22-26 scores) was obtained in seven patients, a satisfactory' one (of 13-15 scores) - in 3 patients but a poor one (below 8 scores) in 2 patients only. The good results after the application of the excision and particularly of the resection of Os lunatum proved the appropriateness of this method for the treatment of Kienhocks's disease at stages III and IV in case of absent arthrotic alterations of radius, Os capitatum, and Os scaphoideum. The intercarpal arthodesis ensured anaesthesia and carpal stablility despite a certain restriction of range of motion.


Keywords

Kienbock's disease; resection of Os lunatum; excision of Os lunatum; roentgenology; range of motion

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References

Blanco, R.7. Hand Surg., 10A, J985, No 6 Pt. 2, 1008-1013.

Coe, M ., T. Trumb 1 e. Hand Clin., 9, 1993, No 3, 417-429.

Dautel, G., B. Goudot, M. Merle. J. Hand Surg., 18B, 1993, No 2, 213-218.

Duong, R. H. Nishiyama, J. Mantril, et al. Clin. Nucl. Med., 7, 1982, 418.

Iwasaki, N . , E. Gcnda, P. Barrance, A. Minami, K. Kaneda, Y. Chao. J. Orthopaed. Res., 16, 1998, No 2, 256-263.

Kambourov, D., A. Klissarova. In: 7th Congr. Internat. Fed. Soc. Surg. Hand. Vancouver, 24-28.V.1998. Bologna, Monduzzi Editore, 1998, 457-462.

Kamburov, D. Sir. Sci. Med., 29, 1996, 91-94.

Kapandji, A . Orthopade, 15, 1986, No2, 60-73.

Kawai, H ., K. Yamamoto, T. Yamamoto, K. Taga, K. Kaga . J. Bone Joint Surg. , 70B, 1988, No 2, 287- 293.

Murakami, Narumichi, Y. Nakatsuchi, S. Saitoh, N. Arai. In: 7th Congr. Internat. Fed. Soc. Surg. Hand. Vancouver, 24-28.V. 1998. Bologna, Monduzzi Editore, 1998, p. 114.

Nahigian, S., C. L i , D. Richey, D. Shaw.7. Bone Joint Surg., 52A, 1970, No 2, 245-252.

Nakamura, K., M. Beppu, K. Matsushita, H. Aoki, T. Ide. In: 7th Congr. Internat. Fed. Soc. Surg. Hand.

Vancouver, 24-28.V.1998. Bologna, Monduzzi Editore, 1998,473-477.

Saitoh, S. T. Ebata, T. Rokkaku, K. Abe, S. Ohfuchi. In: 7th Congr. Internat. Fed. Soc. Surg. Hand. Vancouver, 24-28.V.1998. Bologna, Monduzzi Editore, 1998, p. 93.

Stahl, F. Acta Chin Scand., 126, 1947, SuppL, 1-133.

Werer, F., A. Palmer. Hand Clin., 9, 7993, No. 3, 431-443.




DOI: http://dx.doi.org/10.14748/ssm.v30i0.2830

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D. Kamburov

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