儿童创伤性孤立性桡骨头脱位伴环状韧带损伤修复重建的研究进展  

RESEARCH PROGRESS IN REPAIR AND RECONSTRUCTION OF ISOLATED TRAUMATIC RADIAL HEAD DISLOCATION WITH ANNULAR LIGAMENT INJURY IN CHILDREN

作　　者：李志[1] 何裔[1] 钟刚[1] 黄富国[1] 

机构地区：[1]四川大学华西医院骨科,成都610041

出　　处：《中国修复重建外科杂志》2011年第10期1266-1268,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的对儿童创伤性孤立性桡骨头脱位伴环状韧带损伤修复重建方法的研究进展作一综述。方法查阅近年有关儿童创伤性孤立性桡骨头脱位伴环状韧带损伤的相关文献,并进行总结。结果对于儿童创伤性孤立性桡骨头脱位合并环状韧带损伤以积极手术治疗为主,主要术式为切开复位、重建环状韧带术。韧带重建材料多选用肱三头肌肌腱,主要因为此手术创伤小,在同一切口即可取材,缩短了手术时间;肌腱膜坚韧厚实,固定牢靠,再脱位几率低。人工肌腱因取材简便,固定牢靠,能避免因切取自体重建材料引起的手术创伤而日渐受到重视。结论目前对于环状韧带重建主张积极手术治疗,韧带重建材料多选用肱三头肌肌腱,人工材料是研究趋势。Objective To review the research progress in the repair and reconstruction of isolated traumatic radial head dislocation with annular ligament injury in children.Methods In recent years,the related literature concering isolated traumatic radial head dislocation with annular ligament injury in children was reviewed.Results For isolated traumatic radial head dislocation with annular ligament injury in children,the surgery should be chosen as the main treatment,including open reduction and annular ligament reconstruction surgery.Triceps aponeurosis is usually used as reconstruction materials of annular ligament,mainly because the position of taking material of annular ligament is at the operative incision with less surgery trauma and short operative time;aponeurosis is tough and thick with rigid fixation and low risk of re-dislocation.Artificial materials are paid attention to increasingly because they are easy to get,have rigid fixation,and can avoid operative injury caused by taking material of annular ligament.Conclusion Currently active annular ligament reconstruction surgery should be taken;triceps aponeurosis is widely adopted as reconstruction materials of annular ligament and artificial materials have come to be a new research trend.

关 键 词：创伤性孤立性桡骨头脱位 环状韧带损伤 修复重建 儿童 

分 类 号：R726.8[医药卫生—儿科]