scholarly journals External Fixator-assisted Ulnar Osteotomy: A Novel Technique to Treat Missed Monteggia Fracture in Children

2019 ◽  
Vol 11 (1) ◽  
pp. 102-108 ◽  
Author(s):  
Qiang Wang ◽  
Meng-meng Du ◽  
Xin-jian Pei ◽  
Jun-zhong Luo ◽  
Ya-zhou Li ◽  
...  
Keyword(s):  
External Fixator ◽  
Monteggia Fracture ◽  
Novel Technique ◽  
Ulnar Osteotomy ◽  
Missed Monteggia

scholarly journals Long-term outcome after ulnar osteotomy for missed Monteggia fracture dislocation in children

2011 ◽  
Vol 5 (6) ◽  
pp. 449-457 ◽  
Author(s):  
Ole Rahbek ◽  
Søren Rasmussen Deutch ◽  
Søren Kold ◽  
Jens Ole Søjbjerg ◽  
Bjarne Møller-Madsen
Keyword(s):  
Fracture Dislocation ◽  
Monteggia Fracture ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Ulnar Osteotomy ◽  
Monteggia Fracture Dislocation ◽  
Missed Monteggia

Posterior interosseous nerve injury complicating ulnar osteotomy for a missed Monteggia fracture

2004 ◽  
Vol 38 (6) ◽  
pp. 376-378 ◽  
Author(s):  
Naoki Osamura ◽  
Kazuo Ikeda ◽  
Norio Hagiwara ◽  
Katsuro Tomita
Keyword(s):  
Nerve Injury ◽  
Monteggia Fracture ◽  
Posterior Interosseous Nerve ◽  
Ulnar Osteotomy ◽  
Missed Monteggia

scholarly journals Ulnar Osteotomy with 2-Pin Unilateral Gradual Distraction for Treatment of Chronic Monteggia Fracture: A Case Report

2017 ◽  
Vol 11 (1) ◽  
pp. 79-81
Author(s):  
Gooi SG ◽  
Wang CS ◽  
Saw A ◽  
Zulkiflee O
Keyword(s):  
Case Report ◽  
Monteggia Fracture ◽  
Ulnar Osteotomy ◽  
Gradual Distraction

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.

Long-Term Clinical and Radiographic Outcomes After Open Reduction for Missed Monteggia Fracture-Dislocations in Children

2009 ◽  
Vol 91 (6) ◽  
pp. 1394-1404 ◽  
Author(s):  
Koichi Nakamura ◽  
Kazuhiko Hirachi ◽  
Shigeharu Uchiyama ◽  
Masatoshi Takahara ◽  
Akio Minami ◽  
...  
Keyword(s):  
Open Reduction ◽  
Monteggia Fracture ◽  
Radiographic Outcomes ◽  
Fracture Dislocations ◽  
Missed Monteggia

Repositioning of the Annular Ligament in the Management of Missed Monteggia Fracture

2017 ◽  
Vol 37 (1) ◽  
pp. 20-22 ◽  
Author(s):  
Xuemin Lu ◽  
Guisen Yan ◽  
Yukun Wang ◽  
Zhenhua Zhu ◽  
Haifeng You ◽  
...  
Keyword(s):  
Annular Ligament ◽  
Monteggia Fracture ◽  
Missed Monteggia

scholarly journals Outcome of radial head preserving operations in missed Monteggia fracture in children

2011 ◽  
Vol 45 (5) ◽  
pp. 404 ◽  
Author(s):  
Parag Garg ◽  
Shivam Sinha ◽  
Utpal Bandyopadhyay ◽  
Prashant Baid ◽  
Rajeev Ranjan ◽  
...  
Keyword(s):  
Radial Head ◽  
Monteggia Fracture ◽  
Missed Monteggia

TREATMENT OF THE MISSED MONTEGGIA FRACTURE IN THE CHILD

1992 ◽  
Vol 12 (6) ◽  
pp. 832
Author(s):  
T. M. Stoll ◽  
R. B. Willis ◽  
D. C. Paterson
Keyword(s):  
Monteggia Fracture ◽  
Missed Monteggia

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.

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