Xiao Shan-Wen, Xiao Hong-Lian, Yan Ji-Hui, Qin Si-He
Department of Orthopaedics, Yuncheng Friendship Hospital of Shandong, Yuncheng 274700, Shangdong, China.
Zhongguo Gu Shang. 2013 Jun;26(6):530-2.
At present, treatment for chronic radial head dislocation mainly focus on open reduction, and conservative treatment is invalid. While the surgical procedure generally applies to extend ulnar, short radial, reset radial head. Repair or reconstruction of annular ligament is the focus of study. For the dysfunction, radial head resection served as the final choice. Early diagnosis is the key to the treatment of chronic radial head dislocation. While ulnar or radial osteotomy and non-reconstruction of annular ligament is still the main trend of today.
目前,慢性桡骨头脱位的治疗主要集中在切开复位,保守治疗无效。而手术方式一般采用延长尺骨、缩短桡骨、复位桡骨头。修复或重建环状韧带是研究的重点。对于功能障碍,桡骨头切除术是最后的选择。早期诊断是慢性桡骨头脱位治疗的关键。而尺骨或桡骨截骨术及不重建环状韧带仍是当今的主要趋势。