Vinz H
Beitr Orthop Traumatol. 1989 Apr;36(4):153-68.
In a collective study the late results of 72 Monteggia fractures in children are presented. Early and sufficient treatment achieved excellent results in all these cases. The misdiagnosed dislocation of the radial head was the only cause of unsatisfactory outcome. Persistent dislocation of the radial head however did not lead to major functional impairment of the elbow in most cases. A therapy related classification of the Monteggia fracture is recommended, which includes 1. age, 2. Ulna fracture: reducible or irreducible, stable or unstable retention, 3. radial head dislocation: reducible or irreducible, stable or unstable retention, 4. additional lesions at the same arm.
一项关于儿童孟氏骨折72例远期疗效的综合研究结果显示。在所有这些病例中，早期且充分的治疗均取得了优异的效果。桡骨头误诊脱位是导致预后不佳的唯一原因。然而，在大多数情况下，桡骨头持续脱位并未导致肘部严重功能障碍。建议对孟氏骨折进行与治疗相关的分类，包括：1. 年龄；2. 尺骨骨折：可复位或不可复位、稳定或不稳定固定；3. 桡骨头脱位：可复位或不可复位、稳定或不稳定固定；4. 同一上肢的其他损伤。
