Fascia lata reconstruction of annular ligament in treatment of old radial head dislocation of the Clinical Evaluation of.docVIP

 PAGE \* MERGEFORMAT 19 Fascia lata reconstruction of annular ligament in treatment of old radial head dislocation of the Clinical Evaluation of Author: Zhang Ying, Pang Hung Yin, Zhao Qi, ZHANG Li-jun Abstract [Objective] To evaluate the fascia lata reconstruction of annular ligament for treatment of old radial head dislocation. [Method] A retrospective study of the annular ligament reconstruction with fascia lata for treatment of old radial head dislocation in 24 patients, surgery aged 5 to 14 years old, from injury to surgery time interval of 6 months 5 years, all cases of treatment methods are an alternative application of fascia lata ligament reconstruction brachioradialis ring joints, surgery is not OK when the ulnar osteotomy, postoperative needle fixed brachioradialis joints. [Results] 11 patients were followed up for 5 to 7 years, with an average follow-up of 5 years and 9 months. Of which 6 cases had different degrees of rotation is limited, with an average rotation is limited 69 °, the average is limited pronation 33 °, the average is limited supination 36 °. Limited flexion and extension in 4 cases, which restricted straight average of 21 °, flexion limited not obvious. Subluxation in 2 cases, significantly thinner radial neck in 2 cases, brachial radial articular needle fracture in 4 cases. Transient radial nerve injury in 1 case. [Conclusion] The older children over the age of 13 radial head dislocation, dislocation of more than 2 years should be Shenxing fascia lata reconstruction of annular ligament surgery; check fascia lata reconstruction of annular ligament, the effect reliable, but the increase in trauma . May consider the application of triceps aponeurosis or forearm deep fascia ligament replacement ring. Keywords: fascia lata; radial head dislocation; annular ligament reconstruction; surgical treatment Abstract: [Objective] To evaluated the effect of reconstruction of circular ligament with fascia lata for the t