[Ortho] Асептический некроз ладьевидной кости

[Kuleshov]

Если опыт скромный, лучше воспользоваться чужим.

Wolfe: Green's Operative Hand Surgery, 6th ed.

Proximal row carpectomy for advanced SNAC arthritis is a motion-preserving salvage operation. Compared with intercarpal arthrodesis, it is simple to perform, avoids the risk of nonunion, requires a short period of immobilization, and requires little rehabilitation. Several long-term studies have shown it to be a durable procedure with predictable results.[31,78] Patients can expect to achieve grip strength of 70% to 80% of their contralateral extremity and a wrist arc range of motion of 50% to 60% of their contralateral extremity. Although the majority of patients develop radiographic degenerative change at the radiocapitate articulation, most are asymptomatic.

31. Croog AS, Stern PJ: Proximal row carpectomy for advanced Kienbock's disease: average 10-year follow-up.  J Hand Surg [Am]  2008; 33:1122-1130. 

78. Imbriglia JE, Broudy AS, Hagberg WC, et al: Proximal row carpectomy: clinical evaluation.  J Hand Surg [Am]  1990; 15:426-430. 

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