Old Monteggia fracture surgery in 14 cases in children.docVIP

 PAGE \* MERGEFORMAT 5 Old Monteggia fracture surgery in 14 cases in children [Abstract] Objective old Monteggia fractures in children methods of treatment and efficacy. Methods elbow in the posterolateral incision, the fascia was cut from the incision to reconstruct the annular ligament section. For radial nerve injury associated with the same time for patients lysis epineurial incision decompression. Results 14 cases in 1 patient for up to 1 year due to injury, resulting in radial head dislocation behind the rapid growth of outward pressure on the nerves of radial nerve to make thinner the section, intraoperative Power to recover after bad finger. The remaining 13 cases the surgical methods used were back to normal function. Conclusion old Monteggia fractures in children by cutting the fascial incision to reconstruct the annular ligament article radial head stability method is reliable. but radial nerve injury time long postoperative recovery is an important reason for unsatisfactory. [Keywords:] children, old Monteggia fracture, ligament reconstruction ring Our department during the period 1990 to 2005, 14 cases of surgical treatment of old Monteggia fracture in children cases reported are summarized below. 1 Clinical data 1.1 General Information of this group were 8 males and 6 females, the right side in 10 cases, 4 cases left, the youngest 7 years old, maximum 14 years old, the front side in 3 cases, posterior in 5 cases. Radial nerve crush injury 2 cases, of which 1 case up to 1 year. 1.2 Under general anesthesia, surgical methods, the use of the elbow outside the back incision to reveal the dislocation of the radial head and the annular ligament and torn ulnar fracture, oblique fracture scuttling, reverse into an ulna edged needle-shaped and extend the ulna, to the drilling of implant fracture callus gap. Check the stability of the fracture, the radial head clear around the proliferation of fibrous connective tissue, and then push with