Josten Christoph, Freitag Susanne
Department of Trauma and Reconstructive Surgery, University of Leipzig, Liebigstraße 20, 04103, Leipzig, Germany.
Department of Trauma and Reconstructive Surgery, University of Leipzig, Leipzig, Germany.
Eur J Trauma Emerg Surg. 2009 Jun;35(3):296-304. doi: 10.1007/s00068-008-8028-6. Epub 2008 Dec 8.
Monteggia fractures consist of an ulna fracture accompanied by radial head dislocation. Such fractures are easily overlooked due to the prominence of the ulna fracture. Earlier studies have reported on the results of treating Monteggia fractures in children and adults even though this type of fracture is different in these two patient populations. As such they should be considered as separate entities due to the different injury pattern, the prognosis, and the preferred method of treatment. For a good postoperative result, an early detection of the Monteggia dislocation, an efficient operative treatment of the ulna fracture, and reposition of the radial head are essential. The goal of reconstruction is an early mobilization within a stable arc of motion. Here, we provide an overview of the classification of Monteggia fractures, the mechanism of injury, and treatment options with the aim of providing sufficient information to reduce the possibility of underestimating forearm injuries in adults.
孟氏骨折由尺骨骨折伴桡骨头脱位组成。由于尺骨骨折较为明显，此类骨折很容易被忽视。早期研究已报道了儿童和成人孟氏骨折的治疗结果，尽管这种骨折在这两类患者群体中有所不同。鉴于损伤模式、预后及首选治疗方法不同，应将它们视为不同的实体。为获得良好的术后效果，早期发现孟氏脱位、对尺骨骨折进行有效的手术治疗以及复位桡骨头至关重要。重建的目标是在稳定的活动弧内尽早进行活动。在此，我们概述孟氏骨折的分类、损伤机制及治疗选择，旨在提供足够的信息以降低低估成人前臂损伤可能性。
