桡骨头假体置换治疗桡骨头骨折简史  

A brief history of treatment for radial head fracture with radial head prosthesis

作　　者：周智勇 赵学琴 张树栋 付万有[2] 高富贵[3] 李晓东[4] 

机构地区：[1]烟台山医院骨科,山东省烟台市264001 [2]内蒙古医学院附属鄂尔多斯市医院骨科,内蒙古自治区鄂尔多斯市017000 [3]山西医科大学第二附属医院骨科,太原030001 [4]内蒙古医学院第二附属医院骨科,呼和浩特011500

出　　处：《中华医史杂志》2009年第6期353-356,共4页Chinese Journal of Medical History

摘　　要：自1941年Speed首次用金属杯桡骨头假体置换治疗桡骨头骨折以来，桡骨头假体置换治疗桡骨头骨折的预期目的，从预防异位骨化到防治桡骨向近端迁移和肘关节不稳；理想指征逐渐确定为切除桡骨头将并发肘关节不稳的不可修复的桡骨头骨折；假体的类型从单体型、双极型，发展到组装型；假体材料从丙烯酸、硅橡胶，发展到钴铬合金、钛合金，高温石墨。60余年的发展显示，桡骨头假体置换的手术操作技术仍需改进，以重建肘关节的灵活性和稳定性，不断满足患者更高的功能要求。Since Speed first treated the radial head fracture with a metal prosthesis in 1941, the purpose of the treatment of radial head fracture with a radial head changed from the prevention of heterotopic ossification to the prevention of proximal migration of the radius and instability of the elbow. The optimal indication is gradually determined as a non - reconstruetable radial head fracture with associated injuries that would leave the elbow unstable if the radial head were resected. Types of prosthesis changed from monob- lock, bipolar to modular prosthesis. Material of prosthesis changed from acrylic resin, silastic to cobalt - chrome, titanium and pyrocarbon. The 60 - year development indicates that the operative technology of radial head prostheses was to be improved so as to reconstruct the flexibility and stability of the elbow to meet the higher functional requirements of patients.

关 键 词：桡骨头骨折 假体置换 西医史 

分 类 号：R687[医药卫生—骨科学]