Givon U, Pritsch M, Levy O, Yosepovich A, Amit Y, Horoszowski H
Department of Orthopaedic Surgery, Sheba Medical Center, Tel Hashomer, Israel.
Clin Orthop Relat Res. 1997 Apr(337):208-15. doi: 10.1097/00003086-199704000-00023.
Forty-one patients who suffered from a Monteggia fracture and were treated between 1984 and 1993 were reviewed retrospectively using a new motion score of the elbow joint. There were 14 children and 27 adults of whom 34 were available for review. The results in children were significantly better than those of the adults. Among the adults, the final results of the patients who had a Bado Type 1 equivalent injury were significantly worse than those of the other groups, especially when associated with a fracture of the radial head. The type of fracture, open or closed, the presence of a fracture of the olecranon, and the energy level of the trauma did not have any significant prognostic value. Good correlation was shown between the new motion score and the Figgie elbow score. The Bado Type 1 equivalent injuries should be considered as a special subgroup of the Monteggia lesion, necessitating extra attention in treatment and rehabilitation, and a close followup of the patient.
对1984年至1993年间接受治疗的41例孟氏骨折患者进行回顾性研究，采用一种新的肘关节活动评分系统。其中有14名儿童和27名成人，34人可供评估。儿童的结果明显优于成人。在成人中，具有Bado 1型等效损伤的患者的最终结果明显比其他组差，尤其是伴有桡骨头骨折时。骨折类型（开放性或闭合性）、鹰嘴骨折的存在以及创伤的能量水平均无显著的预后价值。新的活动评分与Figgie肘关节评分之间显示出良好的相关性。Bado 1型等效损伤应被视为孟氏损伤的一个特殊亚组，在治疗和康复中需要格外关注，并对患者进行密切随访。
