Touloupakis Georgios, Theodorakis Emmanouil, Favetti Fabio, Nannerini Massimiliano
Department of Orthopaedics, Aurelia Hospital, Rome, Italy.
Department of Orthopaedics, Aurelia Hospital, Rome, Italy.
Chin J Traumatol. 2017 Feb;20(1):59-62. doi: 10.1016/j.cjtee.2016.04.008. Epub 2017 Jan 20.
Radial head excision has always been a safe commonly used surgical procedure with a satisfactory clinical outcome for isolated comminuted radial head fractures. However, diagnosis of elbow instability is still very challenging and often underestimated in routine orthopaedic evaluation. We present the case of a 21-years old female treated with excision after radial head fracture, resulting in elbow instability. The patient underwent revision surgery after four weeks. We believe that ligament reconstruction without radial head substitution is a safe alternative choice for Mason III radial head fractures accompanied by complex ligament lesions.
桡骨头切除术一直是一种安全且常用的外科手术，对于单纯粉碎性桡骨头骨折具有令人满意的临床效果。然而，在常规骨科评估中，肘部不稳定的诊断仍然极具挑战性且常常被低估。我们报告一例21岁女性桡骨头骨折后行切除术导致肘部不稳定的病例。该患者在四周后接受了翻修手术。我们认为，对于伴有复杂韧带损伤的梅森III型桡骨头骨折，不进行桡骨头置换的韧带重建是一种安全的替代选择。
