CHRONIC MONTEGGIA FRACTURE-DISLOCATION IN CHILDREN SURGICAL STRATEGY AND RESULTS

Overview

Journal Acta Ortop Bras

Specialty Orthopedics

Date 2019 Dec 17

PMID 31839731

Citations 8

Authors

Jamil Faissal Soni

Weverley Rubele Valenza

Carolina Umeta Matsunaga

Anna Carolina Pavelec Costa

Fernando Ferraz Faria

Affiliations

Soon will be listed here.

Abstract

Objective: To report surgical techniques and results in the treatment of chronic Monteggia fracture-dislocation in children.

Methods: Six pediatric patients who had undergone a procedure involving the following 6 crucial surgical steps were retrospectively evaluated: 1- extended lateral approach, 2- fibrotic removal, 3-proximal ulnar osteotomy, 4- reduction of the radial head and transcapitellar temporary fixation, 5- ulnar fixation with a straight plate shaped according to the deformity generated by temporary fixation, and 6- transcapitellar Kirschner wire removal.

Results: Four patients were women, and four showed the right-sided compromise. The mean age of patients was 8 years, and the minimum follow-up period was 12 months. The mean time from the onset of fracture to treatment was 6 months. Six patients underwent complete flexo/extension, and one patient had a complete prono-supination. In four patients, we observed loss of pronation (by 10° in two, 15° in one, and 20° in one), and one patient had a 15° decrease in supination. We did not observe any redislocation of the radial head in the follow-up evaluation. No complications were observed; the only complaint was salience of the ulnar plate.

Conclusions: Our results demonstrated an effective option for the treatment of chronic Monteggia fracture-dislocation in children, even with a small study sample, following the presented technical and surgical strategies.

Citing Articles

What do we need to address when we treat neglected Monteggia fracture in children.

Yi Y, Liu C, Xu Z, Xie Y, Cao S, Wen J Front Pediatr. 2024; 12:1430549.

PMID: 39268364 PMC: 11390576. DOI: 10.3389/fped.2024.1430549.

Evaluation of Monteggia Fracture Outcomes: Acute to Chronic.

Antoon S, Russo S, Kozin S, Zlotolow D Hand (N Y). 2024; 19(6):961-966.

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Risk factors for unsuccessful reduction of chronic Monteggia fractures in children treated surgically.

Wang W, Xiong Z, Huang D, Li Y, Huang Y, Guo Y Bone Jt Open. 2024; 5(7):581-591.

PMID: 38991554 PMC: 11247538. DOI: 10.1302/2633-1462.57.BJO-2024-0004.R2.

To Angulate or Not to Angulate the Ulna during the Progressive Distraction Period Performed with a Monolateral External Fixator in Paediatric Patients with a Chronic Monteggia Fracture?.

Liu Y, Zhao H, Xu H, Shi W, Li J, Li Y Medicina (Kaunas). 2022; 58(11).

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Outcomes and experience after open reduction for chronic Monteggia fracture in children.

Xu P, Zhang Z, Ning B, Wang D Transl Pediatr. 2022; 11(7):1122-1129.

PMID: 35958014 PMC: 9360808. DOI: 10.21037/tp-21-614.

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