孟氏骨折合并盖氏骨折的诊断与治疗(附12例报告)

报告12例同侧孟氏骨折合并盖氏骨折，均采用闭合发位经皮穿针内固定小夹板铁丝托外固定的方法治疗，平均随访21个月，结果优8例，良3例，可1例．认为该类损伤是肘关节外直前臂旋前位跌倒时手掌着地暴力沿前臂纵向传导所致。其漏诊原因主要有临床医师对此类损伤认识不足、拍X线片时报照位置不佳及损伤后找骨小头自动复位等．治疗上，手法复位后单纯应用外固定不可靠，主张采用闭合复位经皮穿针内固定并结合有效的外固定治疗．

Diagnosis and treatment of Monteggia's fracture with Galeazzi's fracture. A report of 12 cases

Twelve cases of Monteggia's fracture with ipsilateral Galeazzi's fracture were treated by closed reduction and percutaneous pinning iniernal and splints wire-support external fixations. The results through follow-up of an average of 21 months were excellent in 8 cases, good in 3, and fair in 1. It was considered that such injuries could be caused by a violence longitudinally conducted along the forearm when the patient fell on his palm with the elbow straightened and the forearm pronated. The main causes for the missed diagnosis included the doctor's inadequate recognization of such injuries, no good film-taking position used, and spontaneous reduction of capitulum radii, and so on. It was suggested that closed reduction, percutaneous pinning internal and effective external fixations should be used instead of alone external fixation after manual reduction.