Zhi Li1, Yi He, Gang Zhong, Fuguo Huang. 1. Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu Sichuan 610041, PR China.
Abstract
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 concerning 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.
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 concerning 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.