De Boeck H
Department of Pediatric Orthopedic Surgery, AZK-VUB, Brussels, Belgium.
Clin Orthop Relat Res. 2000 Nov(380):215-9. doi: 10.1097/00003086-200011000-00029.
Four children had an operative reduction without annular ligament reconstruction for chronic acquired isolated dislocation of the radial head: one girl and three boys with an average age of 7.1 years (range, 4-8.5 years). History indicated that all children had sustained an injury. Results, with an average followup of 50.7 months, were assessed clinically and radiographically. All patients had excellent postoperative functional and radiographic outcomes. Measurements of range of motion of the elbow revealed improved motion in all patients. Reconstruction of the annular ligament seems unnecessary and, therefore, it is suggested that an unreduced radial head dislocation can be treated by simple open reduction and fixation for 6 weeks with a transarticular pin.
4名儿童因慢性获得性单纯桡骨头脱位接受了手术复位，未进行环状韧带重建：1名女孩和3名男孩，平均年龄7.1岁（范围4 - 8.5岁）。病史显示所有儿童均有过受伤经历。平均随访50.7个月后，对结果进行了临床和影像学评估。所有患者术后功能和影像学结果均极佳。肘关节活动度测量显示所有患者的活动度均有改善。环状韧带重建似乎没有必要，因此，建议对于未复位的桡骨头脱位，可通过单纯切开复位并用经关节克氏针固定6周来治疗。
