J Jpn Soc Surg Hand

27 5 634-6362011

DISI

Russe inlay graft 8

Fisk wedge bone graft
anterior wedge shaped graft Fernandez
1

DISI
610

151
97
Stark

DISI

1997 9
Filan-Herbert
F-H D14 D25
7 1/3 2 17
47 28 2
84 17 4
5 518 9

Fernandez 1

DISI 6
Herbert type screw

radiolunate angle
RLA DISI

Fernandez 1

Minami 5

F-H
2
RLA
F-H D1
D2 6 6
RLA Linscheid 4
-15 DISI DISI
paired t-test p
0.05

RLA -16.08.7 2.310.5

1
7.2
2.1 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

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

635

DISI

ADL
DISI

15
7
DISI

DISI Tomanino
Nakamura 610
Tomanio DISI
K-wire
DISI Nakamura
K-wire joy stick

Tomanio 6 Nakamura
8
Nakamura 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

9Stark 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.
10Tomaino 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.

9
Anterior wedge shaped graft Nakamura
DISI
Herbert type screw
X

DISI

1Fernandez 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
3Jiranek WA, et al. Long-term results after Russe bonegrafting: the effect of malunion of the scaphoid. J Bone
Joint Surg 74-A: 1217-1228, 1992.
4Linscheid RL. Kinematic considerations of the wrist.
Clin Orthop 202: 27-39, 1986.
5Minami A, et al. Repair and/or reconstruction of scapholunate interosseous ligament in lunate and perilunate dislocations. J Hand Surg 18A: 1099-1106, 1993.
6Nakamura R, et al. Reduction of the scaphoid fracture
with DISI alignment. J Hand Surg 12A: 1000-1005, 1987.
7DISI
19: 3740, 2002
8Russe O. Fracture of the carpal navicular. Diagnosis, nonoperative treatment, and operative treatment. J Bone
Joint Surg 42-A: 759-768, 1960.

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