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[Surgical treatment for chronic radial head dislocation].

Shan-Wen Xiao¹, Hong-Lian Xiao, Ji-Hui Yan

¹Department of Orthopaedics, Yuncheng Friendship Hospital of Shandong, Yuncheng 274700, Shangdong, China. yyxsw@sohu.com

Zhongguo Gu Shang = China Journal of Orthopaedics and Traumatology

|September 11, 2013

Summary

Chronic radial head dislocation treatment primarily involves open reduction, as conservative methods are ineffective. Surgical focus includes ulnar lengthening, radial shortening, and radial head resetting, with annular ligament repair being crucial.

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Area of Science:

Orthopedic Surgery
Traumatology

Background:

Chronic radial head dislocation often requires surgical intervention.
Conservative treatments are generally ineffective for this condition.

Purpose of the Study:

To review current treatment strategies for chronic radial head dislocation.
To highlight the importance of early diagnosis and surgical techniques.

Main Methods:

Focus on open reduction techniques.
Discussion of ulnar lengthening, radial shortening, and radial head resetting.
Emphasis on annular ligament repair or reconstruction.

Main Results:

Open reduction is the primary treatment modality.
Radial head resection is reserved for severe dysfunction.

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Ulnar or radial osteotomy without annular ligament reconstruction is a current trend.

Conclusions:

Early diagnosis is critical for effective treatment of chronic radial head dislocation.
Surgical management, including ligament repair, remains central.
Evolving trends favor osteotomy techniques without ligament reconstruction.