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Missed radial head dislocations in children associated with ulnar deformation: treatment by open reduction and ulnar
Objective:
To evaluate the results of open reduction and ulnar osteotomy on missed Monteggia fractures in children.
Design:
Retrospective review.
Setting:
Tertiary care center orthopaedic hospital in Pellenberg, Belgium.
Patients/Participants:
Six 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.
Intervention:
Open 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 Measurements:
Mobility of the elbow was measured by an independent observer, evaluating flexion-extension and pronation-supination preoperatively and postoperatively.
Results:
All patients regained a normal range of motion, the radial head remained relocated, and the axis of the forearm remained normal.
Conclusion:
This 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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