Berger M, Urvoy P, Mestdagh H
Service d'Orthopédie-Traumatologie D, CHR de Litte.
Ann Radiol (Paris). 1991;34(5):330-7.
The authors report 62 fractures of the head of the radius treated either by excision or silastic implant arthroplasty. Fifty-two patients were reviewed with a mean follow-up period of 5 years (range 1 to 13). Of 22 prosthetic replacements, 12 were satisfactory while of 30 excisions only 10 were rated good or excellent. Excision usually yielded valgus deformity of the elbow (range 9 to 35 degrees) and with a risk of shortening of the radius. Range of flexion-extension was identical after both procedures but pronation supination was better after prosthesis replacement (78/70) than after radial head excision (65/60) 3 fractures of the implant were found at 6, 9 and 10 years postoperatively; only one of them was associated with pain and required removal of the loose fragments.
作者报告了62例采用切除术或硅橡胶植入关节成形术治疗的桡骨头骨折。对52例患者进行了随访，平均随访期为5年（范围1至13年）。在22例假体置换中，12例效果满意，而在30例切除术中，只有10例被评为良好或优秀。切除术通常会导致肘关节外翻畸形（范围9至35度），并有桡骨缩短的风险。两种手术后屈伸范围相同，但假体置换后旋前旋后功能（78/70）比桡骨头切除术后（65/60）更好。术后6年、9年和10年发现3例植入物骨折；其中只有1例伴有疼痛，需要取出松动的碎片。
