CAJ | 학술논문

自1941年Speed首次用金属杯桡骨头假体置换治疗桡骨头骨折以来,桡骨头假体置换治疗桡骨头骨折的预期目的,从预防异位骨化到防治桡骨向近端迁移和肘关节不稳;理想指征逐渐确定为切除桡骨头将并发肘关节不稳的不可修复的桡骨头骨折;假体的类型从单体型、双极型,发展到组装型;假体材料从丙烯酸、硅橡胶,发展到钴铬合金、钛合金,高温石墨.60余年的发展显示,桡骨头假体置换的手术操作技术仍需改进,以重建肘关节的灵活性和稳定性,不断满足患者更高的功能要求.
자1941년Speed수차용금속배뇨골두가체치환치료뇨골두골절이래,뇨골두가체치환치료뇨골두골절적예기목적,종예방이위골화도방치뇨골향근단천이화주관절불은;이상지정축점학정위절제뇨골두장병발주관절불은적불가수복적뇨골두골절;가체적류형종단체형、쌍겁형,발전도조장형;가체재료종병희산、규상효,발전도고락합금、태합금,고온석묵.60여년적발전현시,뇨골두가체치환적수술조작기술잉수개진,이중건주관절적령활성화은정성,불단만족환자경고적공능요구.
Since Speed first treated the radial head fracture with a metal prosthesis in 1941,the purpose of the treatment of radial head fracture with a radial head chased from the prevention of heterotopic ossification to the prevention of proximal migration of the radius and instability of the elbow.The optimal in-dication is gradually determined as a non-reconstructable radial head fracture with associated injuries that would leave the elbow unstable if the radial head were resected.Types of prosthesis changed from monob-lock,bipolar to modular prosthesis.Material of prosthesis changed from acrylic resin,silastic to cobalt-chrome,titanium and pyroearbon.The 60-year development indicates that the operative technology of radial head prostheses was to be improved so as to reconstruct the flexibility and stability of the elbow to meet the higher functional requirements of patients.