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陈旧性肘关节脱位伴桡骨颈骨不连的矫正截骨及韧带重建:病例报告。

Corrective Osteotomy and Ligamentous Reconstruction in a Neglected Elbow Dislocation with Radial Neck Malunion: A Case Report.

机构信息

Department of Orthopedic Surgery, Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh.

出版信息

JBJS Case Connect. 2024 Feb 29;14(1). doi: 10.2106/JBJS.CC.23.00562. eCollection 2024 Jan 1.

Abstract

CASE

Neglected elbow dislocation and radial neck malunion frequently result in chronic pain, instability, and early arthrosis. These complications are best prevented by early treatment with open reduction, corrective osteotomy, and ligament reconstruction, followed by early supervised physiotherapy. We present a peculiar case with neglected complex elbow dislocation and radial head malunion. In this case, we performed an open reduction of the elbow joint and radial neck corrective osteotomy, medial collateral ligament, annular ligament reconstruction, and lateral collateral ligament repair.

CONCLUSION

Neglected complex elbow dislocations require reconstruction of both ligamentous and osseous structures to achieve a good functional outcome.

摘要

案例

肘部脱位和桡骨颈畸形愈合如果被忽视,常会导致慢性疼痛、不稳定和早期关节炎。通过切开复位、矫正性截骨术和韧带重建,并早期进行有监督的物理治疗,可以很好地预防这些并发症。我们报告了一例复杂肘部脱位伴桡骨头畸形愈合的罕见病例。在本例中,我们进行了肘部关节的切开复位和桡骨颈矫正性截骨术、内侧副韧带、环状韧带重建和外侧副韧带修复。

结论

对于复杂的肘部脱位,如果要获得良好的功能结果,则需要重建韧带和骨骼结构。

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