方法:忽略肘关节脱位和桡骨颈畸形常导致慢性疼痛,不稳定性,和早期关节病。这些并发症最好通过开放复位的早期治疗来预防。矫正截骨,韧带重建,随后进行早期监督物理治疗。我们提出了一个特殊的病例,其中忽略了复杂的肘部脱位和radial头畸形。在这种情况下,我们进行了肘关节切开复位和桡骨颈矫正截骨术,内侧副韧带,环状韧带重建,外侧副韧带修复.
结论:被忽视的复杂肘关节脱位需要重建韧带和骨结构以获得良好的功能结果。
METHODS: Neglected elbow dislocation and radial neck malunion frequently result in chronic pain, instability, and early arthrosis. These complications are best prevented by early treatment with open reduction, corrective osteotomy, and ligament reconstruction, followed by early supervised physiotherapy. We present a peculiar
case with neglected complex elbow dislocation and radial head malunion. In this
case, we performed an open reduction of the elbow joint and radial neck corrective osteotomy, medial collateral ligament, annular ligament reconstruction, and lateral collateral ligament repair.
CONCLUSIONS: Neglected complex elbow dislocations require reconstruction of both ligamentous and osseous structures to achieve a good functional outcome.