Bour P, Dap F, Merle M, Foucher G, Michon J
Service de Chirurgie B2, Hôpital Central, Nancy.
Ann Chir Main Memb Super. 1990;9(4):261-9; discussion p. 269-70.
Malunion of the lower extremity of the radius is frequently accompanied by a lesion of the inferior radio-ulnar joint marked by inversion of the inferior radio-ulnar index. Surgical treatment must always take this parameter into account and should attempt to correct it. The authors' preference in the treatment of malunion consists of Duparc osteotomy, in which the size of the graft is calculated in order to restore the inferior radio-ulnar index. If the correction is insufficient or in the case of moderate malunion, the authors propose the Kapandji-Sauvé operation which allows better preservation of the wrist stability.
桡骨下端畸形愈合常伴有下尺桡关节损伤，以下尺桡指数倒置为特征。手术治疗必须始终考虑这一参数，并应尝试对其进行纠正。作者在治疗畸形愈合时倾向于采用迪帕克截骨术，术中计算植骨大小以恢复下尺桡指数。如果矫正不足或为中度畸形愈合，作者建议采用卡潘迪-索韦手术，该手术能更好地保留腕关节稳定性。
