Calderazzi Filippo, Galavotti Cristina, Nosenzo Alessandro, Menozzi Margherita, Ceccarelli Francesco
Department of Surgery, Orthopedic Clinic, Parma University Hospital, 43100, Parma, Italy.
Ann Med Surg (Lond). 2018 Sep 25;35:108-116. doi: 10.1016/j.amsu.2018.09.027. eCollection 2018 Nov.
Monteggia-like lesions encompass a wide spectrum of fractures of the forearm and elbow associated with dislocations, subluxations and ligamentous lesions. Many attempts have been made to classify these injuries, not only to understand their pathology but also to develop optimal treatments. Unfortunately, although some of these classifications are complete, they are either complex, not immediately usable, or not exhaustive. An orthopedic surgeon who aims to rapidly treat this kind of injury needs a visual classification, and knowledge of the best surgical approach. Monteggia like lesions do not allow for mistakes during surgery, as even a minor error could be prove detrimental to performing and completing all surgical steps. In this paper, based on our extensive experience in treating these rare lesions, we suggest a practical guide to the best surgical approach for various types of Monteggia like lesions. Some technical tips and pitfalls are also described.
孟氏骨折样损伤包括与脱位、半脱位及韧带损伤相关的多种前臂和肘部骨折。人们进行了许多尝试对这些损伤进行分类，不仅是为了了解其病理，也是为了制定最佳治疗方案。不幸的是，尽管其中一些分类是完整的，但它们要么复杂，无法立即应用，要么不够详尽。一名旨在快速治疗此类损伤的骨科医生需要一种直观的分类方法以及对最佳手术入路的了解。孟氏骨折样损伤在手术过程中不容出错，因为即使是一个小错误也可能对执行和完成所有手术步骤不利。在本文中，基于我们在治疗这些罕见损伤方面的丰富经验，我们针对各种类型的孟氏骨折样损伤提出了最佳手术入路的实用指南。还描述了一些技术要点和陷阱。
