Khatri Kavin, Rajpal Karan, Singh Jagdeep
Department of Orthopaedics, All India Institute of Medical Sciences, Bathinda, Punjab. India.
Department of Orthopaedics, Guru Gobind Singh Medical College, Faridkot, Punjab, India.
J Orthop Case Rep. 2020 Sep;10(6):76-79. doi: 10.13107/jocr.2020.v10.i06.1884.
Giovanni Monteggia was the first to describe two cases of fractures of the proximal third of ulna with dislocation of the radial head. Monteggia fractures much more commonly are seen in children than in adults, but the bilateral entity is rare in both age groups. The following case is about the course of treatment for bilateral Monteggia fractures in a young male.
A 35-year-old male came to the emergency with alleged history of roadside accident. Radiography showed bilateral Monteggia fracture type III (by the Bados classification). Surgical intervention was required with locking compression plates put on the both sides. Closed reduction of the radial head was done on both sides. The patient was given pop slabs for bilateral forearms for 21 days. After removing the splints, the function of the elbow was determined by the Broberg Morrey score which was on the right side 45 and on the left side 47 and 100 on both sides after 5 months of follow-up.
Surgical intervention and early rehabilitation are the most important and ideal line of treatment for the return of the good function of both elbows. Diagnosis, surgical technique, rehabilitation program, and clinical results are reported. The bilateral nature of the presentation does not affect the outcome of the fractures.
乔瓦尼·蒙特吉亚（Giovanni Monteggia）首次描述了两例尺骨近端三分之一骨折合并桡骨头脱位的病例。蒙特吉亚骨折在儿童中比在成人中更为常见，但双侧病例在两个年龄组中都很罕见。以下病例是关于一名年轻男性双侧蒙特吉亚骨折的治疗过程。
一名35岁男性因据称的路边事故病史前来急诊。X线检查显示双侧III型蒙特吉亚骨折（根据巴多斯分类法）。需要进行手术干预，在两侧放置锁定加压钢板。两侧均对桡骨头进行了闭合复位。患者双侧前臂使用石膏托固定21天。拆除夹板后，通过布罗伯格·莫里评分（Broberg Morrey score）评估肘部功能，右侧评分为45分，左侧为47分，随访5个月后两侧均为100分。
手术干预和早期康复是恢复双肘良好功能的最重要且理想的治疗方法。报告了诊断、手术技术、康复方案和临床结果。双侧骨折的情况并不影响骨折的治疗结果。
