Vichard P, Tropet Y, Dreyfus-Schmidt G, Besancenot J, Menez D, Pem R
Service d'Orthopédie-Traumatologie, Hôpital Jean-Minjoz, Besançon.
Ann Chir Main. 1988;7(1):45-53. doi: 10.1016/s0753-9053(88)80068-1.
Closed isolated fractures of the radial head should be considered and managed in a different way from those associated with other traumatic lesions of the upper extremity. The recommended treatment for the radial head is early motion, with or without internal fixation or arthroplasty. For this to be achieved, surgical fixation of most of the associated fractures, and surgical repair of serious damage to capsular and ligamentous structures, should be performed. Indications are proposed, according to the results of a series of 73 cases which are compared with our series of 168 observations on isolated radial head fractures.
桡骨头闭合性孤立骨折的处理方式应与上肢其他创伤性损伤相关的骨折有所不同。对于桡骨头骨折,推荐的治疗方法是早期活动,可伴有或不伴有内固定或关节成形术。为实现这一目标,应对大多数相关骨折进行手术固定,并对关节囊和韧带结构的严重损伤进行手术修复。根据73例病例的结果,并与我们对孤立性桡骨头骨折的168例观察结果进行比较,提出了相关指征。