桡骨头切除术后并发症分析

An Analysis of the Post-operative Complications Following Radial Head Excision

自１９７０～１９９３年共施行桡骨头切除术２７例。１５例获得３年以上随访。１５例中８例出现腕肘关节酸软、疼痛；１１例肘关节屈伸度减少；７例前臂旋转受限；１０例患侧握力降低。Ｘ线片显示６例提携角增大，６例出现时骨关节炎改变，５例下桡尺关节对合异常。这种改变随年龄增大和随访时间增长而比例增加，程度加重。作者认为，桡骨头切除应作为改善前臂功能的最后选择，少年儿童尽量避免采用此方法。

AbstractFifteen patients underwent radial head excisionhave been followed-up far more than 3 years。The com-mon complicat ions were weak ne ss,pain and d iscomfortof the elbow.The power of gripping in the effected sidewas decreased, The flexion and extension of elbow jointandIorearm’ s rotation were limited.The X-irav filmsshowed increase of the carrying angle,distal subluxationand osteoarthritis of the radial-ulnar joint.The authorscon sider that radial head excision should be the last se -lection for improving joint function,For the children,radial head excision should be avoided as much as possi-ble.