par Schuind, Frederic 
;Moungondo, Fabian
Référence Kienbock's Disease: Advances in Diagnosis and Treatment, Springer International Publishing, page (249-253)
Publication Publié, 2016-01
;Moungondo, Fabian Référence Kienbock's Disease: Advances in Diagnosis and Treatment, Springer International Publishing, page (249-253)
Publication Publié, 2016-01
Partie d'ouvrage collectif
| Résumé : | The Graner-Wilhelm procedure, indicated in selected stage III Kienböck’s cases with preserved hyaline cartilage at the distal radius lunate fossa and capitate head (Bain-Begg Kienböck’s grade 0 or 1), consists of resection of the necrotic lunate, transverse osteotomy of the distal corpus of the capitate, implantation of an external minifixator, followed-after 7-10 days-by progressive lengthening of the capitate until the carpal height is restored. Bone healing under distraction osteogenesis is relatively quick. After rehabilitation the patient regains acceptable wrist joint motion and strength. Contrary to what is observed after first carpal row resection, no degenerative osteo-arthrosis seems to affect the radio-capitate joint. |
