HUANG Jin Cheng,LIAN Hong Kai,BAI Yu,et al.Outcome of the ulnar osteotomy plus the fixation of the radial head with a transarticular wire in missed Monteggia fracture[J].Journal of Clinical Pediatric Surgery,,12():178-180.[doi:10.3969/j.issn.1671—6353.2013.03.004]
Outcome of the ulnar osteotomy plus the fixation of the radial head with a transarticular wire in missed Monteggia fracture
- Keywords:
- Ｆｒａｃｔｕｒｅ; Ｂｏｎｅ／ＳＵ; Ｆｒａｃｔｕｒｅ Fｉｘａｔｉｏｎ; Ｉｎｔｅｒｎａｉ
- Abstract:
- Objetive To explore the outcome of the ulnar osteotomy plus the fixation of the radial head with a transarticular wire in missed Monteggia fracture.MethodsIn a prospective study，34 patients presented with missed Monteggia fracture were studied. All children underwent ulnar osteotomy plus the fixation of the radial head with a transarticular wire.ResultsThirty patients were followed up for an average duration of 16.9 months (range 4 to28 months). Three patients with the radial nerve injury all get well and another two patients suffered frank dislocation of the radial head. No children except the two who suffered frank dislocation of the radial head complained of pain， deformity and restriction of activity. The mean elbow flexion is 132.7°(range 125°~145°) and mean extension of 4.5° (range 0°~10°).Mean forearm pronation was 87° (range 75°~90°)， and all patients had full supination of 90°.According to the Kim’s criteria，the result was excellent for 24，good for 2，fair for 2， bad for 2.ConclusionThe operation combines of ulnar osteotomy and the fixation of the radial head with a transarticular wire is an effective method to the missed Monteggia fracture．
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