Mikíc Z D, Vukadinovíc S M
Clin Orthop Relat Res. 1983 Dec(181):220-8.
Late results of radial head excision were studied in 60 patients who had isolated fractures of the radial head. Symptomatic elbows were found in 43% of the patients, osteoarthritis in 52%, and valgus deformity in 30%. Elbow motion was restricted in 63%, and new bone formation at the surgical site was noted in 57% of the patients. Forearm rotation was limited in 58%. A proximal radioulnar synostosis was found in 7%, and proximal migration of the radius was present in 47%. A definite and symptomatic subluxation of the distal radioulnar joint was found in 25%. Overall results were unsatisfactory (fair and poor) in 50% of the patients. Excision of the radial head is a serious operation and is followed by a high proportion of complications. The indications for this operation should be relatively limited.
对60例单纯桡骨头骨折患者的桡骨头切除远期结果进行了研究。43%的患者出现有症状的肘部，52%出现骨关节炎，30%出现外翻畸形。63%的患者肘部活动受限，57%的患者在手术部位有新骨形成。58%的患者前臂旋转受限。7%发现近端桡尺关节融合，47%存在桡骨近端移位。25%发现下尺桡关节有明确且有症状的半脱位。50%的患者总体结果不满意（尚可及差）。桡骨头切除术是一项严重的手术，术后并发症比例较高。该手术的适应证应相对有限。
