孟氏骨折脱位(儿童)愈合后畸形的早期手术矫治探讨

Objective To stody the clinic effect of treating the Deformation after Monteggia fracture healing with the orthopedic operation in nonage. Methods All expose the fracture of the ulna and the disloca-tion of the radial head through the Boyd incision. 17 cases of thedeformation were treated with two method, the one is cut off and extend ulna with bone graft, reduce humeroradial joint, theother is cut off and deeurtate radius and reest humeroradial joint, then re-establish annular ligament and fixed humeroradial joint with Kirschner wire temporarily,forearm is external fixation with plaster slab on crooked elbow I00° neutral position. Results The follow-up period for 13 to 27 months, 17 cases were all obtained the head of radius resetting fundamentally. The elbow-joint is stabilization and painless obviously and the functional rehabilitation is well fairly. Conclusion The orthopedic operation is favourable for the acromegalic normal development in nonage, that the head of radius is resetted, the ulna malformation is corrected, the normal article combination is recovered. Even though bone and joint is deformation,it can obtained occasion to renew molding in growth period. It is more valuable for active re-shaping than wait-and-see expecting for this reason.

Treating the Deformation after Monteggia Fracture Healing with the Orthopedic Operation in Nonage