Impact of Open Reduction on Surgical Strategies for Missed Monteggia Fracture in Children

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Impact of Open Reduction on Surgical Strategies for Missed Monteggia Fracture in Children

PURPOSE The aims of this study were to review our cases of missed Monteggia fracture treated by open reduction of the radial head with or without ulnar osteotomy and to investigate the indications for open reduction alone in surgical treatment of missed Monteggia fracture. MATERIALS AND METHODS We retrospectively reviewed 22 patients who presented with missed Monteggia fracture. The patients'...

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Radial head reduction after a missed Monteggia fracture: brief report.

THE JOURNAL OF BONE AND JOINT SURGERY alternative methods, such as epiphyseodesis by inserting a bone peg (Weiner et al. 1984). The hook-pin has eliminated the risk of lost epiphyseal grip : it cannot slide back and it is retracted in its channel with the growth of the femoral neck. Inserted in a pre-drilled hole there is only minimal trauma to the growth plate ; and as only one pin (inserted u...

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Surgical treatment of missed Monteggia lesions in children.

PURPOSE The treatment of an unrecognized Monteggia lesion continues to pose a therapeutic challenge, as evidenced by the variety of surgical techniques described. Moreover, there are high complication and redislocation rates following surgery. This report concerns a surgical technique to reduce a chronic dislocation of the radial head utilizing an ulnar osteotomy and internal fixation. METHOD...

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Monteggia fracture-dislocations in children.

Thirty-three Monteggia fracture-dislocations occurring in patients aged 2 to 15 years were reviewed. A follow-up of 2 to 7 years in 25 patients revealed that 88% had good to excellent results and 12% had results which were fair or poor. Closed reduction was successful in 24 of 28 cases and appeared to be very effective. Open reduction was required only for older children or when treatment was b...

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Monteggia fracture-dislocation in children.

Monteggia fracture-dislocations are uncommon in childhood. Correct early diagnosis is essential to avoid elbow dysfunction and the necessity for open reduction of the radial head. This retrospective analysis of 220 forearm fractures in children shows that 50% of Monteggia fractures were misdiagnosed by accident and emergency (A&E) department senior house officers (SHOs) and 25% were misdiagnose...

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ژورنال

عنوان ژورنال: Yonsei Medical Journal

سال: 2017

ISSN: 0513-5796,1976-2437

DOI: 10.3349/ymj.2017.58.4.829