Miller G K, Drennan D B, Maylahn D J
J Bone Joint Surg Am. 1981 Jun;63(5):712-7.
We did a retrospective study of forty segmental fractures of the radial head in thirty-nine patients. Good results were achieved in twenty of thirty-four fractures with non-operative treatment. In six patients the radial head was excised totally and in only one was a good result achieved. The average follow-up was 10.0 years. Only rarely was there deterioration of the short-term results. The prognosis was not affected by the extent of the depression, the size of the fragment, or the degree of comminution. We concluded that the only indication for operation in this type of fracture is a loose fragment in the joint.
我们对39例患者的40处桡骨头节段性骨折进行了回顾性研究。34处骨折采用非手术治疗，其中20例取得了良好效果。6例患者的桡骨头被完全切除，只有1例取得了良好效果。平均随访时间为10.0年。短期效果很少恶化。预后不受凹陷程度、碎片大小或粉碎程度的影响。我们得出结论，这类骨折的唯一手术指征是关节内有游离碎片。
