Kostretzis Lazaros, Zigras Filippos, Bampis Ioannis, Zervakis Nikolaos, Lachanas Ioannis, Ditsios Konstantinos, Boutsiadis Achilleas
2nd Orthopaedics Department, Aristotle University of Thessaloniki.
2nd Orthopaedic Department, 401 Military Hospital of Athens.
Orthop Rev (Pavia). 2022 Mar 6;14(1):32375. doi: 10.52965/001c.32375. eCollection 2022.
Non-union of radial neck fractures is a rare entity in adults, and conservative treatment is usually applied. However, when the patient is symptomatic, an optimal functional outcome can only be obtained after operative treatment. There is currently no consensus on the best surgical technique to treat this condition. We present a 34-year-old male with a radial head non-union and our proposed technique of using a cylindrical bone autograft harvested from the iliac crest and fixation with headless compression screws. At 12 months follow-up, the patient was pain free and had comparable range of motion to the uninjured side. We recommend a useful technique for the treatment of radial neck fracture nonunion. The preliminary postoperative outcomes show excellent results, while a longer follow-up and a greater number of cases are necessary to confirm the efficacy of this technique.
桡骨颈骨折不愈合在成人中是一种罕见的情况，通常采用保守治疗。然而，当患者出现症状时，只有通过手术治疗才能获得最佳的功能结果。目前对于治疗这种情况的最佳手术技术尚无共识。我们报告一名34岁男性桡骨头骨折不愈合病例，以及我们提出的使用从髂嵴获取的圆柱形自体骨移植并用无头加压螺钉固定的技术。在12个月的随访中，患者无痛，活动范围与未受伤侧相当。我们推荐一种治疗桡骨颈骨折不愈合的有效技术。术后初步结果显示效果极佳，但需要更长时间的随访和更多病例来证实该技术的疗效。
