Degreef I, De Smet L
Orthopedic Department, University Hospital Pellenberg, Pellenberg, Belgium.
J Orthop Trauma. 2004 Jul;18(6):375-8. doi: 10.1097/00005131-200407000-00008.
To evaluate the results of open reduction and ulnar osteotomy on missed Monteggia fractures in children.
Retrospective review.
Tertiary care center orthopaedic hospital in Pellenberg, Belgium.
PATIENTS/PARTICIPANTS: Six children between 2 and 6 years old who sustained a Monteggia fracture that was initially missed were treated at our institute. They presented in our hospital 5 to 59 weeks postinjury.
Open reduction of the radial head was performed, combined with a dorsal opening wedge osteotomy of the proximal ulna and fixation with plate and screws.
Mobility of the elbow was measured by an independent observer, evaluating flexion-extension and pronation-supination preoperatively and postoperatively.
All patients regained a normal range of motion, the radial head remained relocated, and the axis of the forearm remained normal.
This operation-open reduction of the radial head and osteotomy of the ulna-results in an excellent outcome for a missed Monteggia fracture in children.
评估切开复位及尺骨截骨术治疗儿童孟氏骨折漏诊的效果。
回顾性研究。
比利时佩伦贝格的三级护理中心骨科医院。
患者/参与者：6名2至6岁的儿童，他们最初漏诊了孟氏骨折，在我们研究所接受治疗。他们在受伤后5至59周前来我院就诊。
对桡骨头进行切开复位，同时行尺骨近端背侧开放性楔形截骨术，并用钢板和螺钉固定。
由一名独立观察者测量肘部活动度，评估术前及术后的屈伸和旋前旋后情况。
所有患者均恢复了正常活动范围，桡骨头保持复位，前臂轴线保持正常。
对于儿童漏诊的孟氏骨折，这种手术——桡骨头切开复位及尺骨截骨术——可取得极佳疗效。
