FRATURA DE MONTEGGIA PDF

Objective: To report surgical techniques and results in the treatment of chronic Monteggia fracture-dislocation in children. Methods: Six pediatric patients who had undergone a procedure involving the following 6 crucial surgical steps were retrospectively evaluated: 1- extended lateral approach, 2- fibrotic removal, 3-proximal ulnar osteotomy, 4- reduction of the radial head and transcapitellar temporary fixation, 5- ulnar fixation with a straight plate shaped according to the deformity generated by temporary fixation, and 6- transcapitellar Kirschner wire removal. Results: Four patients were women, and four showed the right-sided compromise. The mean age of patients was 8 years, and the minimum follow-up period was 12 months.

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Objective: To report surgical techniques and results in the treatment of chronic Monteggia fracture-dislocation in children. Methods: Six pediatric patients who had undergone a procedure involving the following 6 crucial surgical steps were retrospectively evaluated: 1- extended lateral approach, 2- fibrotic removal, 3-proximal ulnar osteotomy, 4- reduction of the radial head and transcapitellar temporary fixation, 5- ulnar fixation with a straight plate shaped according to the deformity generated by temporary fixation, and 6- transcapitellar Kirschner wire removal.

Results: Four patients were women, and four showed the right-sided compromise. The mean age of patients was 8 years, and the minimum follow-up period was 12 months. The mean time from the onset of fracture to treatment was 6 months.

We did not observe any redislocation of the radial head in the follow-up evaluation. No complications were observed; the only complaint was salience of the ulnar plate. Conclusions: Our results demonstrated an effective option for the treatment of chronic Monteggia fracture-dislocation in children, even with a small study sample, following the presented technical and surgical strategies.

Level of evidence IV, Therapeutic Studies. Resultados: Quatro pacientes eram do sexo feminino, e em quatro o lado direito foi o acometido. All authors declare no potential conflict of interest related to this article. Figure 2. Radial head anatomic reduction in the capitullum and temporary transcapittellar fixation from posterior….

Figure 4. Post-operative 6 month lateral radiography after correction of chronic Monteggia fracture-dislocation. Figure 5. This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. Search: Search. Advanced Clipboard. Create file Cancel. Email citation To:. Format: Summary Summary text Abstract Abstract text. Send email Cancel.

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Conflict of interest statement All authors declare no potential conflict of interest related to this article. Figures Figure 1. Single approach side extended to…. Figure 1. Single approach side extended to the lateral edge of the ulna. Radial head anatomic reduction in…. Figure 3. Ulnar Fixation with straight plate….

Ulnar Fixation with straight plate of 3,5mm or 2,7mm shaped according to the…. Post-operative 6 month lateral radiography…. See this image and copyright information in PMC. Similar articles Ulnar osteotomy and the ilizarov mini-fixator for pediatric chronic monteggia fracture-dislocations. Take M, et al. Medicine Baltimore.

Clinical Trial. Wang Q, et al. Orthop Surg. Epub Feb 4. The treatment of chronic radial head dislocation in Monteggia fracture without annular ligament reconstruction. Chen HY, et al. Int Orthop. Epub May 1. PMID: Monteggia injuries. Delpont M, et al. Orthop Traumatol Surg Res. Epub Nov PMID: Review. Long-term follow-up of corrective ulnar osteotomy for missed Monteggia fractures in children.

Stragier B, et al. J Shoulder Elbow Surg. Epub Sep Show more similar articles See all similar articles. References Monteggia GB, editor. Instituzioni Chirurgiches. Milan, Italy: Maspero; Bado JL. The Monteggia lesion. Clin OrthopRelat Res. The pediatric Monteggia fracture. Monteggia fracture-dislocation in children. Emerg Med J. Neglected Monteggia fracture dislocations in children: a systematic review.

J Pediatr Orthop Part B. Full-text links [x] Free PMC article. Copy Download.

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CHRONIC MONTEGGIA FRACTURE-DISLOCATION IN CHILDREN SURGICAL STRATEGY AND RESULTS

The ulnar fracture is usually obvious, whereas the radial head dislocation can be overlooked, with potentially serious functional and medico-legal ramifications. The direction of radial head dislocation depends on whether abduction or adduction forces were applied during the fall 1. As is usually the case, in everyday practice, describing the fracture-dislocation is far more important than remembering the grade. Monteggia fractures occur mostly in children peak incidence at ages years and rarely in adults. When a forearm fracture is identified, dedicated imaging of both the elbow and the wrist is important and good quality AP and lateral views are essential. Provided that films of adequate quality are obtained, the ulnar fracture is usually obvious and the radial head dislocation should be readily identifiable.

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Average 3. Thank you for rating! Please vote below and help us build the most advanced adaptive learning platform in medicine. Just skip this one for now. After undergoing closed reduction, the radiocapitellar joint is noted to remain non-concentric.

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To report surgical techniques and results in the treatment of chronic Monteggia fracture-dislocation in children. Six pediatric patients who had undergone a procedure involving the following 6 crucial surgical steps were retrospectively evaluated: 1- extended lateral approach, 2- fibrotic removal, 3-proximal ulnar osteotomy, 4- reduction of the radial head and transcapitellar temporary fixation, 5- ulnar fixation with a straight plate shaped according to the deformity generated by temporary fixation, and 6- transcapitellar Kirschner wire removal. Four patients were women, and four showed the right-sided compromise. The mean age of patients was 8 years, and the minimum follow-up period was 12 months. The mean time from the onset of fracture to treatment was 6 months. We did not observe any redislocation of the radial head in the follow-up evaluation.

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