Hertel P, Bernard M, Moazami-Goudarzi Y
Unfallchirurgische Abteilung, Martin-Luther-Krankenhauses, Berlin.
Orthopade. 1991 Nov;20(6):341-5.
Late reconstruction after neglected Monteggia lesions in children is discussed. On the basis of the literature (20 cases) and 2 personal cases it is deduced that open reduction of the radial head should be combined with osteotomy of the ulna according to the pathophysiology of the lesion. Details of the operative procedure are given. Reconstruction of the annular ligament is the least important part. Reconstruction is indicated in children under the age of 10-12 years even if the dislocation has been present for years. Unfavorable conditions for operative reconstruction are long-lasting dislocations in older children, deformation of the radial head, and imminent skeletal maturity.
本文讨论了儿童陈旧性孟氏骨折的晚期重建。基于文献（20例）及2例个人病例，根据损伤的病理生理机制推断，桡骨头切开复位应与尺骨截骨术相结合。文中给出了手术操作细节。环状韧带重建是最不重要的部分。即使脱位已存在数年，10 - 12岁以下儿童仍需进行重建。大龄儿童长期脱位、桡骨头变形以及即将骨骼成熟是手术重建的不利因素。
