![]() ![]() The dislocation of the radial head in combination with the fracture of the ulna has been defined as Monteggia fracture-dislocation ( 1). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License () which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited. Neglected Monteggia Fracture-Dislocation Radial Head Reduction Ulnar Osteotomy PediatricĬopyright © 2019, Shafa Orthopedic Journal. Radial head reduction and ulnar osteotomy with annular ligament reconstruction result in acceptable radiologic and clinical outcomes in the management of neglected pediatric Monteggia fracture-dislocation. No case of subluxation, dislocation, or degenerative joint disease was seen in our series. One ulnar non:union: and one heterotopic ossification were recorded as post-operative complications. Accordingly, the outcome was excellent in six (85.7%) patients and good in one (14.3%). The mean KEPS of the patients was 96.4 ± 6.3. Flexion contracture was present in two cases only. The mean flexion arc, supination, and pronation were 137.9°, 72.1°, and 65.7°, respectively. ![]() The mean follow-up of the patients was 30.8 ± 25.5 months. The mean delayed time from injury to surgery was 53.3 ± 31.4 days. The clinical evaluation of outcomes included the range of motion (ROM) and the Kim elbow performance score (KEPS).Ī total number of seven patients with pediatric Monteggia fracture-dislocations and the mean age of 6.6 ± 2.7 years were evaluated. The radiologic evaluations included the assessment of the :union: of the osteotomy site and elbow joint degenerative changes or peri-articular ossifications. In a retrospective study, pediatric patients with neglected Monteggia fracture-dislocation who underwent open reduction and ulnar osteotomy with annular ligament repair or reconstruction were included. We report the outcome of open reduction and ulnar osteotomy with annular ligament repair or reconstruction in pediatric patients with neglected Monteggia fracture-dislocation. Treatment of Monteggia fracture-dislocations can become quite complicated when the diagnosis is delayed. ![]()
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