Salvage of the head of the radius after fracture-dislocation of the elbow. A case report.

Salvage of the head of the radius after fracture-dislocation of the elbow. A case report.
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肘关节骨折脱位后桡骨头的抢救。

DOI:
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发表时间:
1999
影响因子:
--
通讯作者:
D. Elliott
D. Elliott
中科院分区:
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文献类型:
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作者:
V. Patel;D. Elliott

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我们描述了一个梅森III型骨折的桡骨头与创伤性脱位的手肘关节的病人。尽管与轴完全分离且无任何软组织附着,但桡骨头在其整个圆周上均完好无损。桡骨颈严重粉碎妨碍了内固定重建,也妨碍了假体置换。用三皮质髂嵴骨移植物将股骨头固定在股骨干上,以替代股骨颈。两年后,患者肘关节稳定,屈曲10度至130度。放射学检查显示,桡骨头似乎有活力,植骨已融合。
We describe a patient with a Mason type-III fracture of the head of the radius associated with traumatic dislocation of the elbow. The radial head was intact throughout its circumference despite being completely detached from the shaft and devoid of any soft-tissue attachments. Severe comminution of the radial neck prevented reconstruction by internal fixation and precluded prosthetic replacement of the head. The head was fixed to the shaft with a tricortical iliac-crest bone graft which replaced the neck. Two years later, the patient had a stable elbow with flexion from 10 degrees to 130 degrees. Radiologically, the head of the radius appeared to be viable and the bone graft had incorporated.
DOI: 10.1097/00003086-199104000-00021
发表时间: 1991-04
影响因子: 4.2
作者:
B. Morrey;Shinji Tanaka;K. An
通讯作者: B. Morrey;Shinji Tanaka;K. An