采用钢板固定及前臂筋膜条环状韧带重建治疗陈旧性孟氏骨折脱位：一种罕见的治疗方法及文献综述
Old Monteggia Fracture-Dislocation Treated with Plating and Forearm Fascial Slip Annular Ligament Reconstruction: A Rare Method of Treatment and Review of Literature.
作者信息
Dandi Satyaki, Mishra Nihar Ranjan, Rana Rajesh, Behera Himamsu Bhusan
机构信息
Department of Orthopaedics, IMS and SUM Hospital, Siksha O Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India.
出版信息
J Orthop Case Rep. 2023 May;13(5):92-95. doi: 10.13107/jocr.2023.v13.i05.3660.
INTRODUCTION
Chronic radial head dislocation in old standing or neglected Monteggia fracture is a devastating complication. We present our case regarding managing such a case using plating and fascial slip annular ligament reconstruction (ALR).
CASE REPORT
A 40-year-old male patient, farmer by profession presented with a 4-month-old neglected Monteggia fracture. He was treated with open reduction and internal fixation of fracture ulna with ALR using forearm deep fascial slip. The patient underwent regular physiotherapy post-operatively after 2 weeks of surgery. The patient was followed for 6 months, and DASH score was used to evaluate functional outcome.
CONCLUSION
Excellent results were obtained as regards to pain, wrist range of motion, fracture union, and resuming routine activities at the follow-ups.
引言
陈旧性孟氏骨折中慢性桡骨头脱位是一种严重的并发症。我们介绍了使用钢板固定和筋膜条环状韧带重建术（ALR）治疗此类病例的情况。
病例报告
一名40岁男性患者，职业为农民，因4个月前被忽视的孟氏骨折前来就诊。对其进行了尺骨骨折切开复位内固定术，并使用前臂深筋膜条进行环状韧带重建术。术后2周患者开始接受定期物理治疗。对患者进行了6个月的随访，并使用上肢功能障碍评分（DASH）来评估功能结果。
结论
随访结果显示，在疼痛、腕关节活动范围、骨折愈合以及恢复日常活动方面均取得了优异的效果。
Zotero 插件