Reynders P, De Groote W, Rondia J, Govaerts K, Stoffelen D, Broos P L
Department of Traumatology and Emergency Surgery, University Hospitals K. U. Leuven, Belgium.
Acta Orthop Belg. 1996;62 Suppl 1:78-83.
Sixty-seven Monteggia lesions occurring in adults were reviewed. A follow-up of 1 to 14 years revealed that 53.7% had good to excellent results and 46.3% had results which were fair or poor. All fractures were treated with open reduction and internal fixation. Complications were encountered in 29 cases or 43%. Delayed bone healing in 10 cases and the persistent dislocation of the radial head in 7 cases were noted. Excellent or good results were seen in type III and I, according to Bado's classification; fair or poor results in type IV and II. The results are less good when the olecranon process is fractured, especially in type Ia fractures. The overall result of this injury is abysmal. To improve the outcomes, the authors recommend dorsal plating of the ulnar fracture, avoidance of early resection of the radial head and immediate mobilization of the elbow.
回顾了67例发生于成人的孟氏骨折。1至14年的随访结果显示，53.7%的患者结果为良好至优秀，46.3%的患者结果为一般或较差。所有骨折均采用切开复位内固定治疗。29例（43%）出现并发症。观察到10例骨愈合延迟，7例桡骨头持续脱位。根据巴多分类法，III型和I型的结果为优秀或良好；IV型和II型的结果为一般或较差。当鹰嘴突骨折时，尤其是Ia型骨折，结果较差。该损伤的总体结果很不理想。为改善治疗效果，作者建议对尺骨骨折进行背侧钢板固定，避免早期切除桡骨头，并立即进行肘关节活动。
