Akalin Yavuz, Akinci Orhan, Kayali Cemil
Tepecik Education and Research Hospital, Second Orthopaedics and Traumatology Department, Izmir, Turkey.
Ortop Traumatol Rehabil. 2010 Sep-Oct;12(5):443-7.
Galeazzi fractures represent approximately 3 to 6 percent of forearm fractures, whereas Monteggia fractures represent 1 to 2 percent. The combination of these injuries in the same extremity is an exceedingly rare occurrence. We report a case of ipsilateral combination of Galeazzi and Monteggia fractures in a ten-year-old patient. The patient was treated with closed reduction and internal fixation with Kirschner pins. The distal radioulnar and radiocapitellar joint relationships were restored and the fractures healed. The patient proceeded to obtain a satisfactory functional result three years later. Internal fixation is a safe method for such complex forearm fractures in older children and allows post-operative rehabilitation with the advantage of early mobilization.
盖氏骨折约占前臂骨折的3%至6%，而孟氏骨折占1%至2%。同一肢体同时发生这两种损伤的情况极为罕见。我们报告一例10岁患者同侧合并盖氏骨折和孟氏骨折的病例。该患者接受了闭合复位和克氏针内固定治疗。桡尺远侧关节和桡骨头关节的关系得以恢复，骨折愈合。三年后患者获得了满意的功能结果。对于大龄儿童的此类复杂前臂骨折，内固定是一种安全的方法，有利于术后康复，具有早期活动的优势。
