Habekost H J, Pfister U
Langenbecks Arch Chir. 1980;351(2):105-9. doi: 10.1007/BF01237616.
The operative treatment of radius head fractures represents only one method. Indication for surgical treatment and the method (resection or reconstruction of the radius head) is elucidated based on 30 surgically treated radius head fractures. Postsurgical examinations show better results for the reconstruction method in the limitation of movement and post-traumatic arthrosis than the resection, even though the difference between them shows no significance regarding the small number of cases. Cubitus valgus or changes on the distal radioulnar joint after resection were not found. If there is indication for surgical treatment of a radius head fracture, one should consider using the reconstruction method first.
桡骨头骨折的手术治疗只是其中一种方法。基于30例接受手术治疗的桡骨头骨折病例,阐述了手术治疗的指征及方法(桡骨头切除或重建)。术后检查显示,与切除术相比,重建方法在活动受限和创伤后关节炎方面的效果更好,尽管由于病例数量较少,两者之间的差异无统计学意义。未发现切除术后出现肘外翻或桡尺远侧关节改变。如果有手术治疗桡骨头骨折的指征,应首先考虑使用重建方法。