5)舟状骨偽関節手術におけるDISI変形の矯正と移植骨量の検討.pdf

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  • J Jpn Soc Surg Hand 27 5 634-6362011

    DISI

    Russe inlay graft 8Fisk wedge bone graft anterior wedge shaped graft Fernandez 1 DISI 610151 97 Stark 9

    DISI

    1997 9

    Filan-Herbert F-H D14 D25 7 1/3 2 1747 28 284 17 4 5 518 9

    Fernandez 1DISI 6 Herbert type screw

    radiolunate angle RLA DISI Fernandez 1Minami 5

    F-H 2 RLA F-H D1 D2 6 6RLA Linscheid 4 -15 DISI DISI paired t-test p0.05

    RLA -16.08.7 2.310.5

    1 7.22.1 mm Minami 63.115.3 91.912.2 1

    F-H Type D1 D2 DISI DISI 2

    34 8

    2010/08/14

    755-8505 1-1-1

    140

  • 635

    X 8 F-H D2 RLA 10 -32 DISI DISI palmar wedge-shaped graft RLA 10 90 80 45 Kg Minami 45 100

    DISI

    ADL DISI 157DISI

    DISI Tomanino Nakamura 610Tomanio DISI K-wire DISI Nakamura K-wire joy stick Tomanio 6 Nakamura 8 Naka-mura DISI RLA

    DISI Jiranek Russe 3 81 DISI DISI

    2 9.3 mm 6.0 mm DISI

    141

  • 636

    7.2 mm DISI 4 8.5 mm DISI 7 mm DISI

    9

    Anterior wedge shaped graft Nakamura DISI Herbert type screw X DISI

    1 Fernandez DL. A technique for anterior wedge-shaped

    grafts for scaphoid nonunions with carpal instability. J Hand Surg 9A: 733-737, 1984.

    2 25: 496-500, 2009

    3 Jiranek WA, et al. Long-term results after Russe bone-grafting: the effect of malunion of the scaphoid. J Bone Joint Surg 74-A: 1217-1228, 1992.

    4 Linscheid RL. Kinematic considerations of the wrist. Clin Orthop 202: 27-39, 1986.

    5 Minami A, et al. Repair and/or reconstruction of scaphol-unate interosseous ligament in lunate and perilunate dis-locations. J Hand Surg 18A: 1099-1106, 1993.

    6 Nakamura R, et al. Reduction of the scaphoid fracture with DISI alignment. J Hand Surg 12A: 1000-1005, 1987.

    7 DISI 19: 37-40, 2002

    8 Russe O. Fracture of the carpal navicular. Diagnosis, non-operative treatment, and operative treatment. J Bone Joint Surg 42-A: 759-768, 1960.

    9 Stark HH, et al. Treatment of ununited fractures of the scaphoid by iliac bone grafts and Kirshner-wire fixation. J Bone Joint Surg 70-A: 982-991, 1988.

    10 Tomaino MM, et al. Correction of lunate malalignment when bone grafting scaphoid nonunion with humpback deformity: rationale and results of a technique revisited. J Hand Surg 25A: 322-329, 2000.

    142