成人肘关节后外侧脱位与同外侧桡骨骨折的关联。

ORTEGA YAGO, BALFAGÓN-FERRER, BARRÉS-CARSÍ
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摘要

桡骨骨干骨折伴同侧肘关节后外侧脱位是一种少见的低频率病例。本研究的目的是分析这些患者的诊断、治疗和随访,并回顾文献中所描述的病例。我们报告了3例在我们中心进行手术的患者。所有3例患者脱位的治疗均已完成。1例患者因肱骨骨干骨折需要外固定架。所有3例患者均采用anlcp型锁定钢板进行桡骨切开复位内固定。2例患者活动能力完全恢复,最后1例患者由于活动能力明显受限需要肘关节松解术。确定肘关节脱位后的稳定性很重要,并对桡骨进行早期治疗以尽量减少固定时间。
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Asociación de luxación posterolateral de codo con fractura diafisaria ipsilateral de radio en adultos.
Diaphyseal fractures of the radius with posterolateral dislocation of the ipsilateral elbow are a rare entity with lowfrequency. The objective of this study was to analyze the diagnosis, treatment and follow-up of these patients and toreview the cases described in the literature. We present 3 patients with this association operated on in our centre. The treatment of the dislocation in all three patients was closed. One patient required an external fixator due to a diaphysealfracture of the humerus. An open reduction with internal fixation of the radius was performed in all three patients using anLCP-type locked plate. Two patients had complete recovery of mobility, and the last patient required arthrolysis of theelbow due to significant limitation in mobility. It is important to determine the stability of the elbow after reducing thedislocation, and perform an early treatment of the radius to try to reduce the time of immobilisation.
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