Kesu Belani Levin, Abdullah Shalimar, Harun Mohd Hezery, Narin Singh Parminder Singh Gill, Sapuan Jamari
Orthopaedic and Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.
Orthopaedic and Traumatology, Universiti Putra Malaysia, Kuala Lumpur, MYS.
Cureus. 2020 Nov 19;12(11):e11564. doi: 10.7759/cureus.11564.
Monteggia fracture is commonly treated with open anatomical reduction and fixation of the ulna fracture. The radial head will be automatically reduced once anatomical fixation of the ulna is achieved. However, it is occasionally associated with an irreducible radial head dislocation requiring an open reduction and reconstruction of the torn annular ligament. We describe a case of traumatic Monteggia fracture which underwent initial plating, however post-operative radiograph denoted an irreducible radial head secondary to a ruptured annular ligament. We reconstructed the annular ligament with a synthetic graft sling around the radial neck with an anchor suture. The radial head was stable in all directions after annular ligament reconstruction. A two-year follow-up shows full range of motion of the elbow joint with osteolysis of the radial head, no other operative morbidity was observed.
孟氏骨折通常采用尺骨骨折切开复位内固定治疗。一旦尺骨实现解剖复位，桡骨头将自动复位。然而，它偶尔会伴有不可复位的桡骨头脱位，需要切开复位并重建撕裂的环状韧带。我们描述了一例创伤性孟氏骨折病例，该病例最初接受了钢板固定，但术后X线片显示由于环状韧带破裂导致桡骨头不可复位。我们用合成移植物吊带围绕桡骨颈并通过锚钉缝线重建了环状韧带。环状韧带重建后，桡骨头在各个方向均保持稳定。两年随访显示肘关节活动范围正常，桡骨头有骨质溶解，未观察到其他手术并发症。
