Zilch H
Handchirurgie. 1979;11(3-4):209-11.
A report on 5 cases with successful treatment of a posttraumatic synostosis of radius and ulna by resection and interposition of a silastic-membrane is presented. This membrane has to ensheath one of the forearm bones for at least half of its circumference and it is fixed partially with Dexon sutures. During operation it is necessary to confirm this fixation of the membrane, which must be unchanged after rotation of the forearm. The range of movement reached 4 years after operation was about 120 degrees (100-130 degrees) on an average. A better result can only be expected by an osteotomy of the radius and correction of its position.
本文报告5例创伤后桡尺骨融合采用硅橡胶膜切除及植入术成功治疗的病例。该膜必须包裹前臂骨之一至少半个周长，并部分用涤纶缝线固定。手术过程中必须确认膜的固定情况，前臂旋转后该固定必须保持不变。术后4年平均活动范围约为120度（100 - 130度）。只有通过桡骨截骨术及其位置矫正才能期望获得更好的结果。
