CHRONIC MONTEGGIA FRACTURE-DISLOCATION IN CHILDREN SURGICAL STRATEGY AND RESULTS
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 a...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Ortopedia e Traumatologia
2019-10-01
|
| Series: | Acta Ortopédica Brasileira |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522019000500244&tlng=en |
| _version_ | 1818988277627092992 |
|---|---|
| author | Jamil Faissal Soni Weverley Rubele Valenza Carolina Umeta Matsunaga Anna Carolina Pavelec Costa Fernando Ferraz Faria |
| author_facet | Jamil Faissal Soni Weverley Rubele Valenza Carolina Umeta Matsunaga Anna Carolina Pavelec Costa Fernando Ferraz Faria |
| author_sort | Jamil Faissal Soni |
| collection | DOAJ |
| description | 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. Level of evidence IV, Therapeutic Studies. |
| first_indexed | 2024-12-20T19:20:02Z |
| format | Article |
| id | doaj.art-f5d3918214af4ed0b140e0b52e7c947b |
| institution | Directory Open Access Journal |
| issn | 1413-7852 |
| language | English |
| last_indexed | 2024-12-20T19:20:02Z |
| publishDate | 2019-10-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Acta Ortopédica Brasileira |
| spelling | doaj.art-f5d3918214af4ed0b140e0b52e7c947b2022-12-21T19:29:01ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522019-10-0127524424710.1590/1413-785220192705215273CHRONIC MONTEGGIA FRACTURE-DISLOCATION IN CHILDREN SURGICAL STRATEGY AND RESULTSJamil Faissal Sonihttps://orcid.org/0000-0002-9448-7352Weverley Rubele Valenzahttps://orcid.org/0000-0001-7358-819XCarolina Umeta Matsunagahttps://orcid.org/0000-0001-9921-3337Anna Carolina Pavelec Costahttps://orcid.org/0000-0003-1055-9601Fernando Ferraz Fariahttps://orcid.org/0000-0001-6163-5147ABSTRACT 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. Level of evidence IV, Therapeutic Studies.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522019000500244&tlng=enMonteggia fracture/pathologyMonteggia fracture/surgeryMonteggia fracture/complications |
| spellingShingle | Jamil Faissal Soni Weverley Rubele Valenza Carolina Umeta Matsunaga Anna Carolina Pavelec Costa Fernando Ferraz Faria CHRONIC MONTEGGIA FRACTURE-DISLOCATION IN CHILDREN SURGICAL STRATEGY AND RESULTS Acta Ortopédica Brasileira Monteggia fracture/pathology Monteggia fracture/surgery Monteggia fracture/complications |
| title | CHRONIC MONTEGGIA FRACTURE-DISLOCATION IN CHILDREN SURGICAL STRATEGY AND RESULTS |
| title_full | CHRONIC MONTEGGIA FRACTURE-DISLOCATION IN CHILDREN SURGICAL STRATEGY AND RESULTS |
| title_fullStr | CHRONIC MONTEGGIA FRACTURE-DISLOCATION IN CHILDREN SURGICAL STRATEGY AND RESULTS |
| title_full_unstemmed | CHRONIC MONTEGGIA FRACTURE-DISLOCATION IN CHILDREN SURGICAL STRATEGY AND RESULTS |
| title_short | CHRONIC MONTEGGIA FRACTURE-DISLOCATION IN CHILDREN SURGICAL STRATEGY AND RESULTS |
| title_sort | chronic monteggia fracture dislocation in children surgical strategy and results |
| topic | Monteggia fracture/pathology Monteggia fracture/surgery Monteggia fracture/complications |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522019000500244&tlng=en |
| work_keys_str_mv | AT jamilfaissalsoni chronicmonteggiafracturedislocationinchildrensurgicalstrategyandresults AT weverleyrubelevalenza chronicmonteggiafracturedislocationinchildrensurgicalstrategyandresults AT carolinaumetamatsunaga chronicmonteggiafracturedislocationinchildrensurgicalstrategyandresults AT annacarolinapaveleccosta chronicmonteggiafracturedislocationinchildrensurgicalstrategyandresults AT fernandoferrazfaria chronicmonteggiafracturedislocationinchildrensurgicalstrategyandresults |