Massart P, Merloz P
Service d'Urgence et de Traumatologie, Hôpital-Sud de Grenoble, Echirolles.
Ann Chir Main. 1982;1(1):65-70. doi: 10.1016/s0753-9053(82)80045-8.
In patients who have a malunion of the distal part of the radius with a shortened radius, the ulna is too long. A discrepancy between the ulna and the lower radius, and between the ulna and the carpal bones occurs, compromising the mobility and appearance of the wrist. We reviewed ten such patients in whom the ulna was shortened by performing a resection of a diaphysar cylinder followed by a plate osteosynthesis. This method restored the normal anatomy of the distal radio-ulnar joint, markedly reduced the patient's pain and improved pronation and supination. When performed in young patients, when the radial deformity is not very important, this procedure has most satisfying functional results.
在桡骨远端畸形愈合且桡骨短缩的患者中，尺骨过长。尺骨与桡骨下端之间以及尺骨与腕骨之间出现差异，影响了腕关节的活动度和外观。我们回顾了10例此类患者，通过切除骨干圆柱体并进行钢板接骨术来缩短尺骨。该方法恢复了桡尺远侧关节的正常解剖结构，显著减轻了患者的疼痛，并改善了旋前和旋后功能。当在年轻患者中进行该手术，且桡骨畸形不太严重时，该手术具有最令人满意的功能效果。
