Ihsan Muhammad, Setiawan Eko, Pratama Kevin, Rifardi Dhandia
Department of Orthopedics, Faculty of Medicine, University Riau, Pekanbaru, Indonesia; Division of Orthopedics, Arifin Achmad Hospital, Pekanbaru, Indonesia.
Department of Orthopedics, Faculty of Medicine, University Riau, Pekanbaru, Indonesia; Division of Orthopedics, Arifin Achmad Hospital, Pekanbaru, Indonesia.
Int J Surg Case Rep. 2023 Aug;109:108602. doi: 10.1016/j.ijscr.2023.108602. Epub 2023 Jul 29.
Monteggia fractures are proximal ulna fractures that involve radial caput displacement. Radial caput excision or resection is only suggested in situations of Monteggia lesions with radial caput fractures. Radial head resection should be avoided because the radial head is the principal stabilizer of the elbow and forearm. In this case report, we present a case of radial head resection at a young age after Monteggia reconstruction.
A 26-year-old female came to the orthopaedic clinic for removal implant control after eight years postoperatively, patient had motorcycle accident at 2015 and performed ORIF Monteggia fracture with radial head resection. The patient also showed good alignment of the antebrachi, and there were no limitations in performing supination, pronation, and flexion of elbow and wrist movements. There were also no complications related to the radial head resection from the x-ray examination.
After eight years postoperatively of ORIF Monteggia reconstruction with radial head resection showed a good outcome and improved quality of life for this patient. There was improvement in DASH and MEPS scores.
Patients with radial head resection at a young age after Monteggia reconstruction had good results and should be considered.
孟氏骨折是尺骨近端骨折并伴有桡骨头移位。仅在伴有桡骨头骨折的孟氏损伤情况下才建议进行桡骨头切除或切除术。应避免桡骨头切除，因为桡骨头是肘部和前臂的主要稳定结构。在本病例报告中，我们呈现了一例在孟氏骨折重建术后年轻时进行桡骨头切除的病例。
一名26岁女性在术后八年到骨科门诊进行内固定取出检查，该患者于2015年发生摩托车事故，接受了切开复位内固定治疗孟氏骨折并进行了桡骨头切除。患者前臂对线良好，旋前、旋后以及肘部和腕部的屈伸活动均无受限。X线检查也未发现与桡骨头切除相关的并发症。
切开复位内固定治疗孟氏骨折并进行桡骨头切除术后八年，该患者取得了良好的结果并改善了生活质量。上肢功能障碍评分（DASH）和肌肉骨骼功能评定量表（MEPS）评分均有所改善。
孟氏骨折重建术后年轻时进行桡骨头切除的患者效果良好，值得考虑。
