Mütze Maria, Hepp Pierre, Josten Christoph
Z Orthop Unfall. 2021 Feb;159(1):102-119. doi: 10.1055/a-0968-9383. Epub 2020 Sep 21.
Monteggia lesions and Monteggia-like lesions involve ulna and radius injuries, which can not be successfully treated using the surgical principles of isolated fractures. Proximal ulnar fracture, radio-humeral dislocation, and additional dislocation in the proximal radioulnar joint result in the disintegration of the functional unit, and there is a complex injury across the elbow to the forearm, resulting in poor clinical outcomes. Thus, addressing all osteo-ligamentous injuries is essential for the long-term course.
孟氏骨折和类孟氏骨折涉及尺骨和桡骨损伤,采用孤立骨折的手术原则无法成功治疗。尺骨近端骨折、桡肱关节脱位以及近端桡尺关节的额外脱位导致功能单元解体,肘部至前臂存在复杂损伤,临床预后较差。因此,处理所有骨韧带损伤对长期病程至关重要。