V.L. FILIPPOV, A.A. BOGOV, V.G. TOPYRKIN

Republican Clinical Hospital, 138 Orenburgskiy trakt, Kazan, Russian Federation, 420064

Bogov A.A. — D.Sc. (medicine), Chief Researcher of the Scientific Department, Head of the Traumatology Department No. 2, tel. (843) 237-34-25, e-mail: bogov_a@mail.ru, ORCID ID: 0000-0003-2394-8788

Filippov V.L. — Junior Researcher of the Scientific Department, traumatologist-orthopedist, tel. (843) 231-20-21, e-mail: valek1303@mail.ru, ORCID ID: 5 226 783

Topyrkin V.G. — PhD (medicine), Senior Researcher of the Scientific Department, traumatologist-orthopedist, tel. (843) 237-34-25, e-mail: topirkinvg@gmail.ru.

 The article is devoted to the treatment of Kienböck’s disease — aseptic necrosis of a semilunar bone of hand. Classification of Kienböck’s disease is given, depending on the stage of the disease which determines the indications for operative treatment. Variants of operative treatment with vascularized bone implants are proposed. The results of operative treatment of patients are estimated. A scheme is presented of semilumar-radius arthrodesis with cylinder implant with partial destruction of semilunar bone.

Key words: semilunar bone, Kienböck’s disease, aseptic necrosis, vascularized bone plasty.

(For citation:  Bogov A.A., Filippov V.L., Topyrkin V.G. Treatment of aseptic necrosis of a semilunar bone. Practical Medicine. 2018)

REFERENCES

1. Bashurov Z.K., Zhabin G.I. Treatment of aseptic necrosis of the lunate bone. Ortopediya, travmatologiya i protezirovanie, 1982, no. 10, pp. 41–45 (in Russ.).
2. Paneva-Kholevich E. Asepticheskiy nekroz polulunnoy kosti. Khirurgiya kisti i palʹtsev [Aseptic necrosis of the lunate bone. Hand and finger surgery]. Sofiya, 1971. Pp. 226–229.
3. Moneim M.S., Duncan G.J. Kienbock’s disease: treatment by implantation of vascular pedicle and bone grafting. The Iowa Orthopaedic Journal, no. 18, rr. 67–73.
4. Daecke W., Lorenz S. Vascularized os pisiform for reinforcement of the lunate in Kienböck’s Disease: an average of 12 years of follow-up study. J. Hand Surg. Am., 2005, no. 30(5), pp. 915–922.
5. Yumashev G.S. Osteochondropathy of the lunar bone (Kinbek disease). Travmatologiya i ortopediya, 1977, p. 366 (in Russ.).
6. Ozalp T., Yercan H.S. The treatment of Kienböck disease with vascularized bone graft from dorsal radius. Arch. Orthop. Trauma Surg., 2009, no. 129(2), rr. 171–175.
7. Shin A.Y., Bishop A.T. Pedicled vascularized bone grafts for disorders of the carpus: scaphoid nonunion and Kienbock’s disease. J. Am. Acad. Orthop. Surg., 2002, no. 10(3), rr. 210–216.
8. Saffar P. Vascularized pisiform transfer in place of lunatum for Kienböck’s disease. Chir. Main, 2010, no. 29(1), rr. 112–118.
9. Gong H.S., Chung M.S. Arthroplasty for advanced Kienböck’s disease using a radial bone flap with a vascularised wrapping of pronator quadratus. J. Bone Joint Surg Br. 2006, no. 88(5), rr. 623–628.
10. Ashkenazi A.I. Novaya operatsiya pri porazhenii polulunnoy kosti vsledstvie asepticheskogo nekroza: Aktualʹnye voprosy travmatologii i ortopedii [A new operation with damage to the lunate bone due to aseptic necrosis: Current issues of traumatology and orthopedics]. Moscow, Tsito, 1970. Iss.1. Pp. 83–85.
11. Ashkenazi A.I. Sberegatelʹnoe khirurgicheskoe lechenie povrezhdenie i zabolevaniy kistevogo sustava: avtoref. dis….d-ra. med. nauk [Savings surgical treatment of damage and diseases of the carpal joint. Synopsis of dis. Dr med. sciences]. Moscow, 1979. 463 p.
12. Kienböck R. Ein Menschenalter Röntgenforschung. Wien Klin Wochenschr. 1947 Aug 22;59(33):546.
13. Gordon M. E. Kienböck’s Disease: Aetiology Br Med J. 1943, Aug 14; 2(4310): 200–201.