Chebil Mounir, Kanoun Mohamed Lassaad, Ben Maitigue Mahmoud, Khemiri Chakib, Haddad Nawfel, Khorbi Adel, Hachem Abdelhamid
Service des urgences traumatologiques, Hôpital Aziza Othmana, La Kasba 1008 Tunis, Tunisie.
Tunis Med. 2007 Feb;85(2):116-20.
We assessed retrospectively forty cases of radial head fractures treated by excision.
The series is composed of men in 60% of cases and women in 40% of cases. The age of patients ranged from 15 to 68 years with an average of 37 years. According to Duparc classification, the fracture was type II in 20% of cases, type III in 32%, type IV in 42% and type V in 6%. An associated lesion in the same elbow was seen in 50% of cases; elbow dislocation was present in 38% of cases. The average of operative delay was 14 days (0 - 40 days).
The functional result was evaluated according to clinical score of Western Orthopaedic society. The results were satisfactory. We have noted a correlation between functional result and associated lesions, the delay of excision and postoperative immobilisation. Valgus ulna and ascension of the radius was minors and well tolerated exceptly in cases of fractures associated to elbow dislocations.
According to the results, we think that excision of radial head can be proposed essentially for the treatment of isolated radial head fracture.
我们回顾性评估了40例接受切除术治疗的桡骨头骨折病例。
该系列病例中60%为男性，40%为女性。患者年龄在15至68岁之间，平均年龄为37岁。根据迪帕克分类法，20%的病例为II型骨折，32%为III型，42%为IV型，6%为V型。50%的病例在同一肘部存在相关损伤；38%的病例存在肘关节脱位。手术延迟的平均时间为14天（0至40天）。
根据西方骨科学会的临床评分评估功能结果。结果令人满意。我们注意到功能结果与相关损伤、切除延迟和术后固定之间存在相关性。尺骨外翻和桡骨上移程度较小，除与肘关节脱位相关的骨折病例外，耐受性良好。
根据结果，我们认为桡骨头切除术主要可用于治疗孤立性桡骨头骨折。
