Furry K L, Clinkscales C M
Department of Orthopaedics, University of Colorado Health Sciences Center, Denver 80262, USA.
Clin Orthop Relat Res. 1998 Aug(353):40-52. doi: 10.1097/00003086-199808000-00006.
Fractures of the radial head continue to challenge orthopaedic surgeons. Fortunately, most simple uncomplicated fractures treated non-operatively with emphasis on early motion achieve good results. Treatment of more complex fractures remains controversial, however. When simple radial head excision is contraindicated, choosing between open reduction and internal fixation and radial head replacement remains difficult. A review of the literature does not provide definite guidelines, but suggest that fracture complexity and technique are critical for success. This paper is not intended to review the treatment of radial head fractures, but rather to focus on choosing between replacement versus internal fixation when preservation of radial head mechanics is indicated.
桡骨头骨折一直是骨科医生面临的挑战。幸运的是，大多数简单的无并发症骨折采用非手术治疗，重点是早期活动，可取得良好效果。然而，对于更复杂骨折的治疗仍存在争议。当单纯桡骨头切除术为禁忌时，在切开复位内固定和桡骨头置换之间做出选择仍然很困难。文献综述并未提供明确的指导方针，但表明骨折的复杂性和技术对成功至关重要。本文并非旨在综述桡骨头骨折的治疗，而是专注于在需要保留桡骨头力学功能时，在置换与内固定之间做出选择。
