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. 2007 Apr;31(2):151-4.
doi: 10.1007/s00264-006-0153-4. Epub 2006 Jun 2.

Treatment of chronic radial head dislocations in children

W D Belangero  1 , B Livani, R K Zogaib
Affiliations

Treatment of chronic radial head dislocations in children

W D Belangero et al. Int Orthop. 2007 Apr.

Abstract
in English, French

From 1990 to 2005 our department treated nine patients with chronic radial head dislocation by an ulnar osteotomy and indirect reduction by interosseous membrane. The patients varied in age from 2 years and 8 months to 10 years, and the time from the injury to operation ranged from 40 days to 3 years. The range of functional motion and carrying angle was restored in all nine patients, and no complications, such as recurrent dislocation, infection, or neurovascular injury were observed. This technique has proven to be a successful approach to treating such cases, with a low range of complications and good functional results.

De 1990 à 2005 nous avons traité 9 patients, agés de 2 ans 8 mois à 10 ans, d’une luxation permanente de la tête radiale par une ostéotomie cubitale avec réduction indirecte par la membrane inter-osseuse. Le délai entre le traumatisme et la chirurgie était de 40 jours à 3 ans. L’amplitude de mobilité et l’axe du coude étaient restaurés dans tous les cas sans complication à déplorer. Les auteurs sont satisfaits de cette technique.

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Figures

Fig. 1
Fig. 1
(Case number 09): preoperative and final postoperative X–rays
Fig. 2
Fig. 2
Fibrous tissue between radial head and capitellum (arrow)
Fig. 3
Fig. 3
Ulnar open wedge osteotomy (short arrow) after radial head reduction (long arrow)
Fig. 4
Fig. 4
Radial head reduction and transcapitellar fixation (image intensifier control)
Fig. 5
Fig. 5
Ulnar osteotomy fixed with plate and screws
See this image and copyright information in PMC

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