Thurston A J, Spry N A
Department of Surgery, Wellington School of Medicine, New Zealand.
Aust N Z J Surg. 1993 Dec;63(12):976-80. doi: 10.1111/j.1445-2197.1993.tb01728.x.
The management of three cases of traumatic radio-ulnar synostosis involved surgical excision of the synostotic bone followed by radiotherapy. Irradiation was commenced on the first postoperative day and was continued daily. The first patient received 20 Gy midline in 10 fractions and the second and third patients 10 Gy in five fractions. No acute side effects were observed. All three patients regained a good, functional range of forearm rotation with no evidence of recurrence of the synostosis after 2 years. This method of treatment is recommended as an alternative to other adjunctive therapies including interposition of material such as silicone sheet between the bones or peri-operative pharmacological suppression.
三例创伤性桡尺骨融合的治疗方法包括手术切除融合骨，随后进行放射治疗。术后第一天开始放疗，每日持续进行。第一位患者在10次分割中接受20 Gy的中线照射，第二和第三位患者在5次分割中接受10 Gy照射。未观察到急性副作用。所有三名患者均恢复了良好的前臂旋转功能范围，两年后无融合复发迹象。推荐这种治疗方法作为其他辅助治疗的替代方法，包括在骨间置入硅胶片等材料或围手术期药物抑制。
