De Sá Vasconcelos Uchôa Raphael, Luiza Simões de Brito Uchôa Ana
Traumatology, Agreste Regional Hospital, Caruaru, BRA.
Cureus. 2024 Jul 17;16(7):e64745. doi: 10.7759/cureus.64745. eCollection 2024 Jul.
Monteggia fracture-dislocation is an inherently unstable injury in the elbow region, characterized by a fracture of the proximal ulna associated with dislocation of the radial head, often with high rates of postoperative complications. Some variants of this injury involve a combination with a fracture of the radial head, which further complicates the scenario, often requiring multiple surgical approaches, increasing soft tissue damage, and promoting a higher risk of complications. The objective of this study is to report the case of a patient undergoing surgical intervention through a posterior approach to the elbow, during which radial head arthroplasty and ulna osteosynthesis were performed. Ambulatory follow-up revealed, through the excellent early functional outcome presented, that minimizing damage through treatment with a single approach provides significant benefits.
孟氏骨折脱位是肘部区域一种本质上不稳定的损伤，其特征为尺骨近端骨折合并桡骨头脱位，术后并发症发生率通常较高。这种损伤的一些变体涉及合并桡骨头骨折，这使情况更加复杂，常常需要多种手术入路，增加软组织损伤，并增加并发症风险。本研究的目的是报告一例通过肘部后入路进行手术干预的患者病例，术中进行了桡骨头置换和尺骨接骨术。门诊随访通过所呈现的优异早期功能结果表明，采用单一入路治疗以尽量减少损伤可带来显著益处。
