Runer Armin, Berger Marvin Sven, Sanchez Carbonel Jose Fernando, Lacheta Lucca, Mehl Julian, Siebenlist Sebastian
Department of Sports Orthopaedics, Technical University of Munich, Munich, Germany.
University Center of Orthopedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus Dresden, Technische Universität Dresden, Dresden, Germany.
Arthrosc Tech. 2024 Dec 12;14(5):103374. doi: 10.1016/j.eats.2024.103374. eCollection 2025 May.
Elbow dislocations frequently coincide with osteochondral radial head flake fractures, posing a notable risk for subsequent post-traumatic osteoarthritis. While several surgical techniques exist for the reattachment of osteochondral flakes, they often present drawbacks. This article presents a stable fixation of radial head osteochondral fractures using resorbable sutures only. The surgical procedure entails the creation of drill holes through the fragment and radial head, subsequently securing the fragment in place with absorbable sutures in a U-shaped technique. Compared to conventional methods using screws, the presented technique eliminates the need for subsequent implant removal and is economically viable. In summary, this minimally invasive and fragment-preserving approach yields promising clinical outcomes and represents an effective treatment modality for radial head osteochondral fractures in the orthopaedic setting.
肘关节脱位常与桡骨头骨软骨片状骨折同时发生，这对后续创伤后骨关节炎构成显著风险。虽然存在多种用于重新固定骨软骨片的手术技术，但它们往往存在缺点。本文介绍了仅使用可吸收缝线对桡骨头骨软骨骨折进行稳定固定的方法。手术过程包括通过骨折块和桡骨头钻孔，随后采用U形技术用可吸收缝线将骨折块固定到位。与使用螺钉的传统方法相比，该技术无需后续取出植入物，且经济可行。总之，这种微创且保留骨折块的方法产生了有前景的临床结果，代表了骨科环境中桡骨头骨软骨骨折的一种有效治疗方式。
