Inoue G, Shionoya K
Department of Orthopaedic Surgery, Nagoya University School of Medicine, Japan.
Acta Orthop Scand. 1998 Feb;69(1):73-6. doi: 10.3109/17453679809002361.
We reviewed 12 children, mean 5 (1-12) years, after corrective osteotomy of the ulna, combined with open reduction of the radial head for malunited anterior Monteggia lesions (Bado type I). A simple corrective osteotomy was used in the first 6 patients (group A) and a posterior angular osteotomy was used in the second group of 6 patients (group B). All osteotomies healed uneventfully, but 3 patients had a persistent dislocation of the radial head. Children who had been treated with an angular osteotomy had the best clinical outcome).
我们回顾了12例儿童患者,平均年龄5岁(1 - 12岁),这些患儿接受了尺骨截骨矫正术,并对陈旧性孟氏骨折(Bado I型)的桡骨头进行了切开复位。前6例患者(A组)采用简单的截骨矫正术,后6例患者(B组)采用后倾楔形截骨术。所有截骨均顺利愈合,但3例患者桡骨头持续脱位。采用楔形截骨术治疗的儿童临床效果最佳。