桡骨远端尺桡关节半脱位及桡骨头切除术后因桡骨纵向不稳定行桡骨撑开延长术：1例报告

Distraction lengthening of the radius for radial longitudinal instability after distal radio-ulnar subluxation and excision of the radial head: a case report.

作者信息

Capuano L, Craig N, Ashcroft G P, Maffulli N

机构信息

Department of Orthopaedics and Traumatology, Aberdeen Royal Infirmary, Foresterhill and Woodend Hospital, NHS Trust, Department of Orhopaedic Surgery, University of Aberdeen Medical School, Polwarth Building, Foresterhill, Aberdeen, Scotland.

出版信息

Scand J Plast Reconstr Surg Hand Surg. 2001 Sep;35(3):331-5. doi: 10.1080/028443101750523285.

DOI:10.1080/028443101750523285

PMID:11680406

Abstract

The results of late surgery for symptomatic proximal migration of the radius after resection of the radial head for trauma are usually disappointing. Ulnar variance increases when the interosseous membrane is disrupted. Its integrity should be assessed to predict the results of further surgery. We describe a 29-year-old patient in whom distraction lengthening of the radius through an Ilizarov frame allowed him to regain pain-free function of the wrist and elbow after a complex Essex-Lopresti fracture dislocation and late symptoms of ulnar carpal impingement.

摘要

因创伤行桡骨头切除术后出现症状性桡骨近端移位而进行二期手术，其结果通常令人失望。当骨间膜受损时，尺骨变异会增加。应评估其完整性以预测进一步手术的结果。我们描述了一名29岁的患者，在经历复杂的埃塞克斯-洛普雷斯蒂骨折脱位及晚期尺腕撞击症状后，通过伊里扎洛夫架对桡骨进行牵张延长，使他恢复了腕关节和肘关节无痛功能。