scholarly journals Open reduction and corrective ulnar osteotomy for missed radial head dislocations in children

2007 ◽  
Vol 2 (1) ◽  
pp. 31-34 ◽  
Author(s):  
Denise Eygendaal ◽  
R. J. Hillen
Keyword(s):  
Radial Head ◽  
Open Reduction ◽  
Ulnar Osteotomy

Open Reduction of the Radial Head with Ulnar Osteotomy and Annular Ligament Reconstruction for Bilateral Congenital Radial Head Dislocation: A Case with Long-Term Follow-Up

2007 ◽  
Vol 32 (1) ◽  
pp. 93-97 ◽  
Author(s):  
H. YAMAZAKI ◽  
H. KATO
Keyword(s):  
Radial Head ◽  
Open Reduction ◽  
Ligament Reconstruction ◽  
Annular Ligament ◽  
Radial Head Dislocation ◽  
Results Of Treatment ◽  
Ulnar Osteotomy ◽  
Annular Ligament Reconstruction ◽  
Congenital Radial Head Dislocation

We report the 9 year follow-up results of treatment of a 5 year-old boy with bilateral congenital radial head dislocation by open reduction of the radial head and ulnar osteotomy with annular ligament reconstruction and discuss the management of this condition.

scholarly journals Ulnar osteotomy is the only required procedure for chronic monteggia fracture in children.

2021 ◽  
Vol 28 (06) ◽  
pp. 886-890
Author(s):  
Abdul Latif Shahid ◽  
Farhad Alam ◽  
Islam Hussain ◽  
Abdul Latif Sami
Keyword(s):  
Radial Head ◽  
Open Reduction ◽  
Annular Ligament ◽  
Osteotomy Site ◽  
Time Interval ◽  
Monteggia Fracture ◽  
Ulnar Osteotomy ◽  
Flexion Extension ◽  
Annular Ligament Reconstruction ◽  
Ulnar Lengthening

Objective: To determine containment of radial head after ulnar osteotomy in chronic Monteggia fractures. Study Design: Retrospective study. Setting: Children Hospital and The Institute of Child Health, Lahore. Period: 2019 to January 2020. Material & Methods: Ten patients presented in outdoor patient department with a diagnosis of chronic Monteggia fracture. Four patients were labelled as missed Monteggia fractures, four with late presented Monteggia fractures and two with inadequately treated Monteggia fractures. Bado and Letts classifications were applied for patients. Mean age was 6 years and 8 months and ranged from 4 to 10 years. Mean time interval between injury and admission was 6.1 months. Open reduction of radial head and ulnar osteotomy was done through Boyed approach. Transcapitellar wire was inserted temporarily and then removed so it is not required permanently. The ulnar osteotomy was angulated opposite to the direction of radial head dislocation and fixed with plate and screws. Results: 10 patients were included in this study. The age range was between 4 and 10 years. The study period was six months and follow up was one year. Mean ulnar angulation at osteotomy site was 21.3° (16-25°). Mean ulnar lengthening at osteotomy site was 0.85 cm (0.5-1.8 cm).Improvement in flexion-extension was 20.3%, pronation was 5.1% and supination was 13.7%. Complications included were nounion in 1 case and cubitus valgus in 1 case. Conclusion: Containment of radial head is obtained by open reduction of radial head and with ulnar osteotomy in chronic Monteggia fractures. Annular ligament reconstruction and transcapitellar wire insertion are not required if proper angulation and fixation of ulnar osteotomy is performed. No age limit for this procedure but surgery should be performed before radial head deformation.

Open Reduction and 3-Dimensional Ulnar Osteotomy for Chronic Radial Head Dislocation Using a Computer-Generated Template: Case Report

2012 ◽  
Vol 37 (3) ◽  
pp. 517-522 ◽  
Author(s):  
Junichi Miyake ◽  
Kunihiro Oka ◽  
Hisao Moritomo ◽  
Kazuomi Sugamoto ◽  
Hideki Yoshikawa ◽  
...  
Keyword(s):  
Case Report ◽  
Radial Head ◽  
Open Reduction ◽  
Radial Head Dislocation ◽  
3 Dimensional ◽  
Ulnar Osteotomy

scholarly journals Open reduction and internal fixation with bone grafts for comminuted mason type II radial head fractures

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Guanyi Liu ◽  
Erman Chen ◽  
Dingli Xu ◽  
Weihu Ma ◽  
Leijie Zhou ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Radial Head ◽  
Open Reduction ◽  
Bone Grafts ◽  
Type Ii ◽  
Radial Head Fractures

scholarly journals Open reduction and internal fixation for radial head fractures: A prospective observational study

2020 ◽  
Vol 9 (4) ◽  
pp. 166
Author(s):  
ArslanAhmed Abro ◽  
ImranKhan Mangi ◽  
MuhammadNaveed Memon ◽  
Shahjahan Siyal ◽  
Naveed Khan ◽  
...  
Keyword(s):  
Observational Study ◽  
Internal Fixation ◽  
Radial Head ◽  
Open Reduction ◽  
Prospective Observational Study ◽  
Radial Head Fractures

scholarly journals Surgical treatment in children missed Monteggia lesions at Bhuj, Kutch, Gujarat: a retrospective study

2016 ◽  
Vol 3 (1) ◽  
pp. 30 ◽  
Author(s):  
Prakash Chauhan
Keyword(s):  
Internal Fixation ◽  
Radial Head ◽  
Medical Science ◽  
Surgical Techniques ◽  
Annular Ligament ◽  
Osteotomy Site ◽  
Cast Immobilization ◽  
Monteggia Lesion ◽  
Ulnar Osteotomy ◽  
Chronic Dislocation

<p class="abstract"><strong>Background:</strong> 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<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> Present study was performed at department of orthopedics, Gujarat Adani institute of medical science, Bhuj, Kutch, Gujarat. Ethical clearance was taken from the institutional ethics board and informed consent was obtained from all the participants. Between July 2015 and September 2016 six children presented in a traumatic context with chronic dislocation of the radial head and malunion of the ulna.  Patient mean age was 6.5 (range 4–8) years, and the mean interval between injury and surgical procedure was 17 (range 1–49) months. Surgery consisted of an ulnar osteotomy with angulation and lengthening, bone grafting at the osteotomy site, and internal fixation. Open reduction of the radial head, repair or reconstruction of the annular ligament or temporary fixation of the radial head with a transarticular wire was not undertaken. Cast immobilization with the forearm in neutral rotation was maintained for 4-6 weeks.<strong></strong></p><p class="abstract"><strong>Results:</strong> There was one case of nonunion. At an average follow-up of 3 (range 1.5–4.4) years, all patients had regained painless function of the forearm, good range of elbow and forearm motion, and maintenance of the radial head reduction<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> Both angulation and elongation of the ulna are required to allow for reduction of the radial head. We do not see any indication for procedures directed at the radio-capitellar joint<span lang="EN-IN">.</span></p>

scholarly journals Influence of Ulnar Bow Sign on Surgical Treatment of Missed Bado Type I Monteggia Fracture in Children

2020 ◽  
Author(s):  
Shijie Liao ◽  
Tiantian Wang ◽  
Qian Huang ◽  
Yun Liu ◽  
Rongbin Lu ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Radial Head ◽  
Monteggia Fracture ◽  
Type I ◽  
Ulnar Osteotomy ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
Stable Reduction

Abstract PurposeThe present study aimed to explore the influence of ulnar bow on the surgical treatment of Bado type I missed Monteggia fracture in children.MethodsThis study is a retrospective review of 24 patients between November 2010 and March 2019. All patients were treated with open reduction of the radial head and ulnar opening wedge osteotomy without annular ligament reconstruction. The mean interval between injury onset and surgery was five months (range: 2–12 months). The average age of participants at the time of surgery was 6.4 years (range: 3–10 years). We evaluated the maximum ulnar bow (MUB) and MUB position (P-MUB) via radiography. The patients were divided into middle group (group A: 14 cases, MUB located at 40% to 60% of the distal ulna) and distal group (group B: 10 cases, MUB located at 20% to 40% from the distal end of the ulna) based on P-MUB. The mean period of follow-up was 37 months (range: 6–102 months).ResultsAt the last follow-up, all the children showed stable reduction of the radial head, and the flexion function of elbow joint improved after operation (P<0.05). Group A presented a larger the ratio of maximum ulnar bow(R-MUB) and angle of ulnar osteotomy(OA) than group B (P<0.05). There was statistically significant difference between group A and Group B in the P-MUB (P < 0.05). The osteotomy angle was positively correlated with the R-MUB (R2 =0.497,P=0.013), The osteotomy angle was positively correlated with the P-MUB (R2=0.731,P=0.000), The R-MUB is proportional to the P-MUB (R2 =0.597,P=0.002). The regression equation of P-MUB and osteotomy angle: Angle=7.064+33.227* P-MUB (R2=0.459, P =0.000).ConclusionWhen the ulnar bow is positioned at the middle ulna, a stable reduction of radial head need to be achieved through a larger angle in the ulnar osteotomy. If the position of maximum ulnar bow (P-MUB) is closer to the middle of the ulna or the ratio of maximum ulnar bow (R-MUB) is larger, the osteotomy angle is larger.

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