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Min Chen - One of the best experts on this subject based on the ideXlab platform.
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type iii Monteggia Fracture with posterior interosseous nerve injury in a child a case report
Medicine, 2017Co-Authors: Jing Wang, Min ChenAbstract:AbstractRationale:Elbow injury in children by improper treatment or a delay of more than 3 weeks could lead to old unreduced Monteggia Fracture, which are difficult to manage. Conservative or normal surgical methods usually fail.Patient concerns:Herein, we present a 6-year-old boy with sustaining in
Atul Bhaskar - One of the best experts on this subject based on the ideXlab platform.
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RETRACTED ARTICLE: Missed Monteggia Fracture in children: is annular ligament reconstruction always required?
Journal of Children's Orthopaedics, 2009Co-Authors: Atul BhaskarAbstract:Background Missed radio-capitellar joint dislocation is one of the feared complications of Monteggia Fractures, especially when associated with subtle Fractures of the ulna bone. Many treatment strategies have been described to manage the chronic Monteggia Fracture and the need for annular ligament reconstruction is not always clear. This study is an attempt to address the issue of annular ligament reconstruction in the surgical management of missed Monteggia Fracture. Materials and methods A retrospective study was performed in 12 patients who presented with missed Monteggia Fracture. All children underwent open reduction of the radio-capitellar joint. Five children (Group A) were treated with ulna angulation–distraction osteotomy and annular ligament reconstruction, and six cases required only an ulna angulation–distraction osteotomy without ligament reconstruction. The duration of missed dislocation was from 3 to 18 months (mean 9 months). Ten patients were classified as Bado I, and one each as Bado II and III, respectively. Results The mean follow up period was 22 months. All ulna osteotomies healed uneventfully. The mean loss of pronation was 15° in Group A and 10° in Group B. Elbow flexion improved from the preoperative range and no child complained of pain, deformity and restriction of activity. In one case (Group A), there was 3 mm of radiographic subluxation of the radial head, but this child was clinically asymptomatic. The elbow score was excellent in ten cases and good in two cases. Conclusion Distraction–angulation osteotomy of the ulna suffices in most cases of missed Monteggia Fracture and the need for annular ligament reconstruction is based on the intra-operative findings of radial head instability.
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RETRACTED ARTICLE: Missed Monteggia Fracture in children: is annular ligament reconstruction always required?
Journal of children's orthopaedics, 2009Co-Authors: Atul BhaskarAbstract:Background Missed radio-capitellar joint dislocation is one of the feared complications of Monteggia Fractures, especially when associated with subtle Fractures of the ulna bone. Many treatment strategies have been described to manage the chronic Monteggia Fracture and the need for annular ligament reconstruction is not always clear. This study is an attempt to address the issue of annular ligament reconstruction in the surgical management of missed Monteggia Fracture.
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Missed Monteggia Fracture in children: Is annular ligament reconstruction always required?
Indian journal of orthopaedics, 2009Co-Authors: Atul BhaskarAbstract:Background: Chronic (neglected) radiocapitellar joint dislocation is one of the feared complications of Monteggia Fractures especially when associated with subtle Fracture of the ulna bone. Many treatment strategies have been described to manage chronic Monteggia Fracture and the need for annular ligament reconstruction is not always clear. The purpose of this study is to highlight the management of missed Monteggia Fracture with particular emphasis on utility of annular ligament reconstruction by comparing the two groups of patients. Materials and Methods: In a prospective study 12 patients with mean age of 7.4 years, who presented with neglected Monteggia Fractures, were studied. All children underwent open reduction of the radiocapitellar joint. Five children (Group A) were treated with angulation-distraction osteotomy of ulna and annular ligament reconstruction and six cases (Group B) required only angulation-distraction osteotomy of ulna without ligament reconstruction. In one case an open reduction of the radiocapitellar joint was sufficient to reduce the radial head and this was included in Group B. The gap between injury and presentation was from 3 months to 18 months (mean 9 months). Ten patients were classified as Bado I, and one each as Bado II and III respectively. We used the Kim's criteria to score our results. Result: The mean follow-up period was 22 months. All ulna osteotomies healed uneventfully. The mean loss of pronation was 15 degree in Group A and 10 degree in Group B. Elbow flexion improved from the preoperative range and no child complained of pain, deformity and restriction of activity. The elbow score was excellent in 10 cases, and good in two cases. Conclusion: Distraction-angulation osteotomy of the ulna suffices in most cases of missed Monteggia Fracture and the need for annular ligament reconstruction is based on intraoperative findings of radial head instability.
Wu Wen - One of the best experts on this subject based on the ideXlab platform.
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Treatment of posterior interossous nerve injury caused by Monteggia Fracture
China Journal of Orthopaedics and Traumatology, 2002Co-Authors: Wu WenAbstract:Objective 6 cases of Monteggia Fracture combined with posterior interossous nerve injury were reviewed Methods 6 cases of Monteggia Fracture with posterior interosseous nerve injury were treated since 1990～May to 2000.Of them,5 cases were fresh Fractures and treated by manual reduction or open reduction,without exposure of the nerve.1 case was an old Fracture with ulna healed up in deformity and treated by osteotomy of the ulna with plate fixation,the nerve was exposed and neurolysis was done.Results The nerve injury in 5 fresh Fractures recovered in 3 months,the patient who was treated with neurolysis was follwed up for 6 months;a grade Ⅲ of the muscular strength was recovered.Conclusion Most of the nerve injuries caused by Monteggia Fracture could recovered with conservative treatment;the radial nerve entrapment is a rare condition,however it should not be neglected.
Jing Wang - One of the best experts on this subject based on the ideXlab platform.
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meta analysis of surgical treatment for old Monteggia Fracture in children
National Medical Journal of China, 2018Co-Authors: Qiuliang Liu, Y B Zhang, L Y Shi, Qiuju Wang, P S Geng, P L Wang, Yunfang Wang, Jing Wang, Xuejun ZengAbstract:Objective To analysis the treatment effect of the ulnar osteotomy and ring-shaped ligament reconstruction for the treatment of old Monteggia Fracture in children by using Meta analyze, and the difference of clinical curative effect was compared in order to provide the basis for the selection of clinical treatment options for old Monteggia Fractures in children. Methods We searched databases such as CNKI, Wanfang database, Medline, PubMed, Embase and Science through computer, at the same time, the references of relevant documents were retrieved manually, and the data processing was carried out by the RevMan5.3 statistical software provided by the Cochrane cooperation network by incorporating the exclusion criteria. The results were obtained and analyzed. Results A total of 17 standard literature, 438 cases, 224 cases of ulnar osteotomy, 214 cases with ring ligament repair and reconstruction were obtained. The operation scheme, which was mainly based on the lengthening of ulna osteotomy, was superior to the reconstruction of ring ligament reconstruction. The complications and second operation rates of the former was less than that of the latter. Conclusion The surgical methods for the reconstruction of the ulna osteotomy and the ring-shaped ligament have advantages and disadvantages. The choice of the operative plan for the old Monteggia Fracture should be based on the following factors: the time of the old Monteggia Fracture formation, the degree of the ulnar and radial deformity and the familiarity of the operative method. Key words: Monteggia Fracture; Old; Pediatric; Surgery Meta analysis
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type iii Monteggia Fracture with posterior interosseous nerve injury in a child a case report
Medicine, 2017Co-Authors: Jing Wang, Min ChenAbstract:AbstractRationale:Elbow injury in children by improper treatment or a delay of more than 3 weeks could lead to old unreduced Monteggia Fracture, which are difficult to manage. Conservative or normal surgical methods usually fail.Patient concerns:Herein, we present a 6-year-old boy with sustaining in
A. Devadoss - One of the best experts on this subject based on the ideXlab platform.
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Neglected pediatric Monteggia Fracture dislocation with persistent posterior interosseous nerve palsy: a case report
European Journal of Orthopaedic Surgery & Traumatology, 2011Co-Authors: A. Raviraj, Ashish Anand, A. DevadossAbstract:This is a rare case report of persistent PIN palsy following a case of neglected Monteggia Fracture dislocation in a 7-year-old boy. The patient had presented with prominence around the elbow and inability to abduct the thumb, extend the thumb at interphalangeal joint, and inability to extend the fingers at the metacarpophalangeal joints. The index procedure of ulnar osteotomy and closed reduction of radial head did not yield satisfactory results; subsequently, patient underwent a second surgery for open reduction of radial and exploration of the PIN with simultaneous sural nerve grafting. To the best of our knowledge, this is the first case from India describing the use of sural nerve as a cable graft for neglected Monteggia Fracture dislocation with nerve palsy.
