Zhang Jin,9,Jiang Fei,et al.Risk factors of pediatric neglected Monteggia fracture and Kim or Mayo Elbow performance score[J].Journal of Clinical Pediatric Surgery,,18():916-921.[doi:10.3969/j.issn.1671—6353.2019.11.005]
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Risk factors of pediatric neglected Monteggia fracture and Kim or Mayo Elbow performance score

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第18卷 Number: 2019 11 Page: 916-921 Column: 专题·儿童陈旧性孟氏骨折 Date of publication: 2019-11-30
Author(s):
Zhang Jin1; 9;  Jiang Fei1; 9;  Wang Shuaiyin2; 9;  Shao Jingfan3; 9;  Mei Haibo4; 9;  Guo Yueming5; 9;  Tang Xin6; 9;  Xu Hongwen7; 9;  Li Yiqiang7; 9;  Shen Xiantao8; 9
1. Department of Pediatric Orthopedics, Affiliated Dalian Children’s Hospital, Dalian Medical University, Dalian 116012, China;
2. Municipal Children’s Hospital, Shenzhen 518000, China;
3. Affiliated Tongji Hospital, TongJi Medical College, Huazhong University of Science & Technology, Wuhan 430030, China;
4. Hunan Province Children’s Hospital, Changsha 410007, China;
5. Foshan Hospital of Traditional Chinese Medicine. Foshan 528000, China;
6. Xiehe Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430030, China;
7. Department of Pediatric Orthopedics, Municipal Women & Children’s Medical Center, Guangzhou Medical University, Guangzhou 510623, China;
8. Municipal Women & Children Medical Care Center, Wuhan 430030, China;
9. Chinese Pediatric Orthopedics Multicenter Clinical Study Group
Keywords:
Monteggia Fracture; Prognosis; Factor Analysis;  Statistical; Child
CLC:
R726.8;R683
DOI:
10.3969/j.issn.1671—6353.2019.11.005
Abstract:
Objective To explore the risk factors influencing the recovery of pediatric neglected Monteggia fracture so as to provide rationales for clinical practice.Methods The basic data of 119 children of neglected Monteggia fracture from January 2010 to December 2018 were collected and postoperative follow-ups conducted.The Kim and Mayo elbow performance scores were calculated.Results A total of 90 children (male-to-female ratio:2:1) were followed-up.The median postoperative follow-up period was 3.14 (0.5-8.0,±1.8573) years.The Mayo score after treatment was excellent (n=80,decent (n=1),fair (n=8) and poor.(n=1).Original injury to surgery interval and ulna osteotomy were risk factors (P<0.05) and the major factors were original injury to surgery interval and ulna osteotomy after logistic analysis (P<0.05).The Kim score after treatment was excellent (n=71),decent (n=3),fair (n=11) and poor (n=5).Original injury to surgery interval and ulna osteotomy were risk factors (P=0.05) and the major factors were original injury to surgery interval and ulna osteotomy based upon Logistic analysis (P<0.05).Conclusion The major influencing factors for the recovery of pediatric neglected Monteggia fracture include original injury to surgery interval and ulna osteotomy.No significant difference exists in elbow Kim or Mayo score.

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Memo

收稿日期:2019-09-24。
通讯作者:蒋飞,Email:jf2299@163.com

Last Update: 1900-01-01