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Indirect Reduction of the Radial Head in Children With Chronic Monteggia Lesions

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Affiliated Author(s)
송광순배기철조철현이경재손은석
Alternative Author(s)
Song, Kwang SoonBae, Ki CheorCho, Chul HyunLee, Kyung JaeSon, Eun Seok
Journal Title
Journal of orthopaedic trauma
ISSN
0890-5339
Issued Date
2012
Abstract
Objective: The purpose of this study was to report the long-term
follow-up results of chronic Monteggia fractures treated with
angulation–translation osteotomy of ulna and closed reduction of
the radial head.
Design: Retrospective.
Setting: Level 1 trauma center.
Patients: We retrospectively reviewed 10 missed Monteggia fractures
in children. The mean age of the patients was 7.5 years (range,
6–10 years), and there were 2 girls and 8 boys. The mean duration of
time between initial injury and initial presentation was 1.7 years
(range, 6 weeks to 5 years).
Intervention: Closed reduction with ulna osteotomy or lengthening
was performed in all 10 cases. Annular ligament reconstruction (ALR)
was done in 2 cases. Final follow-up ranged from 3 to 20 years (mean
10 years).
Main Outcome Measurement: We assessed preoperative and
postoperative radiographs to evaluate the quality of the radial head
reduction. Clinical results were assessed according to the functional
elbow score devised by Kim et al.
Results: Radial head reduction was achieved and maintained in 8 of
10 cases after primary or secondary surgery. The radial head was
mildly subluxated in one case and dislocated in another case at final
follow-up. ALR was performed in only 2 cases. Open reduction and
ALR is not required in every case, and its need should depend on
intraoperative stability of radial head.
Key Words: chronic Monteggia lesion, ulna osteotomy, closed
reduction, children
Level of Evidence: Therapeutic Level IV. See Instructions for
Authors for a complete description of levels of evidence.
Department
Dept. of Orthopedic Surgery (정형외과학)
Publisher
School of Medicine
Citation
Kwang Soon Song et al. (2012). Indirect Reduction of the Radial Head in Children With Chronic Monteggia Lesions. Journal of orthopaedic trauma, 26(10), 597–601.
Type
Article
ISSN
0890-5339
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38534
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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