• J Orthop Trauma · Jul 2004

    Missed radial head dislocations in children associated with ulnar deformation: treatment by open reduction and ulnar osteotomy.

    • I Degreef and L De Smet.
    • Orthopedic Department, University Hospital Pellenberg, Pellenberg, Belgium.
    • J Orthop Trauma. 2004 Jul 1; 18 (6): 375-8.

    ObjectiveTo evaluate the results of open reduction and ulnar osteotomy on missed Monteggia fractures in children.DesignRetrospective review.SettingTertiary care center orthopaedic hospital in Pellenberg, Belgium.Patients/ParticipantsSix children between 2 and 6 years old who sustained a Monteggia fracture that was initially missed were treated at our institute. They presented in our hospital 5 to 59 weeks postinjury.InterventionOpen reduction of the radial head was performed, combined with a dorsal opening wedge osteotomy of the proximal ulna and fixation with plate and screws.Main Outcome MeasurementsMobility of the elbow was measured by an independent observer, evaluating flexion-extension and pronation-supination preoperatively and postoperatively.ResultsAll patients regained a normal range of motion, the radial head remained relocated, and the axis of the forearm remained normal.ConclusionThis operation-open reduction of the radial head and osteotomy of the ulna-results in an excellent outcome for a missed Monteggia fracture in children.

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