Jain Deepak, Singh Sanjeev, Binyala Shrey, Kumar Praveen
Department of Orthopaedics, MGM Medical college, Kamothe, Navi-Mumbai, Maharashtra, India.
J Orthop Case Rep. 2021 Oct;11(10):96-99. doi: 10.13107/jocr.2021.v11.i10.2488.
Management of Mmonteggia fractures has always been debatable; Nnumerous variants have been described in the literature since its first description in 1814. We report a new variant of classical Mmonteggia fracture in a 33-year-old male.
A 33-year old male was brought to the emergency room with an alleged history of assault and was managed with an external wound. Antero-Pposterior and lateral radiographs showed segmental ulna fracture and radial head dislocation. The Ppatient was managed surgically with open reduction internal fixation with reconstruction plate for segmental ulna and closed reduction of radial head was attempted after achieving an anatomical reduction of the ulna. Close attention was paid to the early post-operative mobilization of the elbow joint with the help of a Hinged elbow brace and terminal functional outcome re re-evaluated at 6six months with a DASH score of 11 and MAYO score of 92.
We report a rare type 1 monteggia equivalent not described in the literature. Despite the variability of the monteggia equivalents, the principle of management remains the same. Early mobilization of the elbow is of utmost importance to avoid post-operative stiffness.
孟氏骨折的治疗一直存在争议；自1814年首次描述以来，文献中已描述了多种变体。我们报告了一名33岁男性患者的经典孟氏骨折的一种新变体。
一名33岁男性因据称遭受袭击被送往急诊室，并接受了外伤处理。前后位和侧位X线片显示尺骨节段性骨折和桡骨头脱位。患者接受了手术治疗，采用重建钢板对尺骨节段进行切开复位内固定，并在尺骨实现解剖复位后尝试对桡骨头进行闭合复位。借助铰链式肘部支具密切关注肘关节术后的早期活动，并在6个月时重新评估最终功能结果，DASH评分为11分，MAYO评分为92分。
我们报告了一种文献中未描述的罕见的1型类孟氏骨折。尽管类孟氏骨折存在变异性，但治疗原则仍然相同。肘部的早期活动对于避免术后僵硬至关重要。
