Olney B W, Menelaus M B
Department of Orthopaedic Surgery, Royal Children's Hospital, Melbourne, Australia.
J Pediatr Orthop. 1989 Mar-Apr;9(2):219-23.
One hundred two children with acute Monteggia lesions treated over a 25 year period were reviewed. Using the Bado classification system, type 1 (53%) and type 3 (26%) fractures were the most common. The type 1 equivalent injury associated with a proximal radius fracture is more common in children than previously reported. The majority of injuries could be treated with closed reduction, except the type 1 equivalent lesions, which required operative treatment in 10 of 14 children. Varus angulation of the ulna was the most common deformity after closed treatment. Nerve injuries occurred in 11% of the injuries, and resolved in all cases without operative treatment.
回顾了在25年期间接受治疗的102例急性孟氏骨折患儿。采用巴多分类系统，1型（53%）和3型（26%）骨折最为常见。与桡骨近端骨折相关的1型等效损伤在儿童中比以前报道的更为常见。除1型等效损伤外，大多数损伤可通过闭合复位治疗，14例中有10例1型等效损伤需要手术治疗。尺骨内翻成角是闭合治疗后最常见的畸形。11%的损伤发生神经损伤，所有病例均未经手术治疗而恢复。
