DAVID P.

GREEN, MD

SLAC

SLAC

Scapho Lunate Advanced

Collapse
(
)
Watson

#1

#2

#3

SLAC -

SLAC III

SNAC

Scaphoid Non-union
Advanced Collapse

SNAC

(
)

(
)

SLAC I
:

 II

SLAC -- II
:
PRC
(Proximal Row
Carpectomy)

(
)

--

3-4

--

4-5
,

 --

 -


?
,
,

 36
6 .

,



Siegel DB & Gelberman RH
J.Hand Surgery 16A:40, 1991

- ,
4

 --
50%

,


(
)

 --


6 12

,
.

SLAC -- III

SLAC III -

SLAC
-
(Watson)

SLAC -

(4-
) +


- Eaton



Salomon GD & Eaton RG:
J. Hand Surgery 21A:2-8, 1996

50o/
45o

(Eaton
)

SLAC III




,


(1969-70)

1970 -- CARROLL
-

12

1984-- LOUIS

( Darrach )

 LOUIS

1980s AO


GREEN

Bolano & Green JHS 18A:786, 1993

2
)



III

(intrinsic )

()

AO
CARROLL


10

12


(?)

.

?



-
, ?
(, )

( 30% -)

DIEGO FERNANDEZ

 Palmer
(OHS 1 )

3 .



!


-



,


. .
. . .



1.

2.

:

/

Hastings
OHS
5
?:

GARCIA-ELIAS ET AL
J.HAND SURG. 30A:8, 2005
16

?

Palmer
JHS 9:23-31, 1983 JBJS 67A:247, 1985

15

9 .

. . .

Darrach
Sauve-Kapandji

DARRACH


Colles, . . .
6 . (
)

DARRACH

- 2

(?)

DARRACH

DARRACH

*

-

IMPINGEMENT ON
RADIUS

JBJS 64A:178-182, 1982

4 Darrach


DARRACH

,

1.
2.
3.

SAUVE-KAPANDJI

Darrach

?

1 cm

- 2 cm

SAUVE-KAPANDJI

!

SAUVE-KAPANDJI

80-
,
Darrach

BOWERS

JHS 10A:169-178, 1985


WATSON

JHS 11A:812-817, 1986

WATSON

WATSON
,
,
, . . .
. . .

Darrach
Sauve-Kapandji

-
?

The Hand Center

Of San Antonio