Nakhostine M, Engelhardt P
Klinik für orthopädische Chirurgie, Kantonsspital St. Gallen.
Helv Chir Acta. 1991 Jul;58(1-2):113-8.
Thirteen patients with neglected luxation of the proximal radius who were treated with different surgical procedures at the Orthopaedic Department of the Kantonsspital in St. Gallen (Switzerland) returned for evaluation at an average of 7 years postoperatively. The luxation was traumatic in 11 cases (7 Monteggia-fractures) and in 2 cases due to a dysplasia of the forearm. In 7 patients the deformity recurred and in 1 a synostosis between radius and ulna was noticed. In 4 cases the wrist showed a relative overlength of the ulna. Proximal osteotomy of the ulna in combination with open reduction of the proximal radius gave better results than the other procedures. Congenital luxation of the proximal radius does not cause much symptoms but surgical treatment often results in recurrence of the deformity. Therefore, we only occasionally advocate operative therapy in these cases.
13例在瑞士圣加仑州立医院骨科接受不同手术治疗的桡骨近端陈旧性脱位患者，术后平均7年进行了回访评估。脱位在11例中为创伤性（7例孟氏骨折），2例因前臂发育异常所致。7例患者畸形复发，1例发现桡骨与尺骨间有骨桥形成。4例患者腕部显示尺骨相对过长。尺骨近端截骨联合桡骨近端切开复位比其他手术效果更好。桡骨近端先天性脱位症状不明显，但手术治疗常导致畸形复发。因此，我们仅偶尔在这些病例中提倡手术治疗。
