頁籤選單縮合
題 名 | Short- to Medium-term Outcomes of Radial Head Replacement Arthroplasty in Posttraumatic Unstable Elbows: 20 to 70 Months Follow-up=使用橈骨頭置換手術治療外傷後肘關節不穩定之短至中期結果20至70個月追蹤 |
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作 者 | 簡宏洋; 陳昭宇; 黃炤文; 程俊穎; 徐郭堯; | 書刊名 | 長庚醫誌 |
卷 期 | 33:6 2010.11-12[民99.11-12] |
頁 次 | 頁668-678 |
分類號 | 416.26 |
關鍵詞 | 不能修復的橈骨頭骨折; 鈦合金橈骨頭置換術; 創傷後肘關節不穩定; Irreparable radial head fracture; Radial head replacement; Posttraumatic unstable; Elbows; |
語 文 | 英文(English) |
中文摘要 | 2002 2008 13 (Mason classification) (acute or delayed) (flexion/extension, pronation/supination) (stiffness, radiolucency) Mayo Elbow Performance Score Mayo Elbow Performance Score% % 16% 126.5° (95° to 140°) 6.2° (0° to 20°) 78.8° (65° to 85°) 81.2° (60° to 90°) 120.4° (80° to 140 °) 160° (125° to 175°) |
英文摘要 | Background: The radial head is considered the main stabilizer of the elbow when the medial collateral ligament and lateral ulnar collateral ligament have been compromised. Radial head replacement (RHR) is indicated for patients with irreparable or non-united radial head fractures associated with elbow stiffness or instability. The present study aimed to analyze the clinical results after treatment with titanium radial head prostheses, repair of torn soft tissue constraints, and early mobilization of the elbow. Methods: From 2002 to 2008, 13 patients with radial head fractures were included. RHR arthroplasty was performed primarily for irreparable fractures in 10 patients and secondarily for radial head fracture nonunion in 3. All patients were followed-up clinically and radiographically for a mean of 38 months (range, 20 to 70 months). Results: On the basis of Mayo Elbow Performance Scores, 8 patients had excellent results; 3, good results; and 2, fair results. No patient had elbow instability after RHR. Two patients had elbow stiffness 6 months after RHR and underwent surgical intervention for contracture release. None of the prostheses were removed because of loosening or infection. Conclusion: Treatment of irreparable radial head fractures with a modular titanium radial head prosthesis and soft-tissue reconstruction yields satisfactory results. Early mobilization of the elbow is important for the restoration of elbow range of motion and function. |
本系統中英文摘要資訊取自各篇刊載內容。