41-226
La fractura-luxación de Monteggia. Tratamiento y pronóstico. A propósito de 35 casos.
Monteggia fracture-dislocation. Treatment and prognosis. Report of 35 cases.
A. ARENAS PLANELLES, J. A. ORTEGA ARRUTI, M. ORTEGA SÁEZ, A. ARENAS MIQUÉLEZ SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL DE NAVARRA. PAMPLONA.
Recepción:
12/09/2008
Aceptación:
12/09/2008
Publicación:
12/09/2008
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Resumen (ES)
We present a retrospective study of 35 cases of
Monteggia fracture-dislocation treated between the year
1990 and 2003. The results were satisfactory in 29 patients,
intermediate in 4 cases and poor in the 2 remaining ones.
Conclusions: Treatment of this injury must be orthopaedic in
childhood. In the adults, on the contrary, the treatment must
be surgical and to consist of a stable osteosynthesis of the
fracture of the ulna with a DCP type plate. Reduction of the
head of the radius dislocation must be always tried by orthopaedic
methods since the results like that obtained are better.
If it is not possible, the open reduction can be tried, avoiding
providing that there is possible the resection of the radial
head. On the other hand, diagnosis and treatment must fulfil
early to be able to obtain a good functional result.
Monteggia fracture-dislocation treated between the year
1990 and 2003. The results were satisfactory in 29 patients,
intermediate in 4 cases and poor in the 2 remaining ones.
Conclusions: Treatment of this injury must be orthopaedic in
childhood. In the adults, on the contrary, the treatment must
be surgical and to consist of a stable osteosynthesis of the
fracture of the ulna with a DCP type plate. Reduction of the
head of the radius dislocation must be always tried by orthopaedic
methods since the results like that obtained are better.
If it is not possible, the open reduction can be tried, avoiding
providing that there is possible the resection of the radial
head. On the other hand, diagnosis and treatment must fulfil
early to be able to obtain a good functional result.
Palabras clave (ES):
Pronóstico
Radio
Fractura
Fractura-luxación
Codo
Monteggia
Tratamiento
Cubito
Antebrazo
Resumen (EN)
We present a retrospective study of 35 cases of
Monteggia fracture-dislocation treated between the year
1990 and 2003. The results were satisfactory in 29 patients,
intermediate in 4 cases and poor in the 2 remaining ones.
Conclusions: Treatment of this injury must be orthopaedic in
childhood. In the adults, on the contrary, the treatment must
be surgical and to consist of a stable osteosynthesis of the
fracture of the ulna with a DCP type plate. Reduction of the
head of the radius dislocation must be always tried by orthopaedic
methods since the results like that obtained are better.
If it is not possible, the open reduction can be tried, avoiding
providing that there is possible the resection of the radial
head. On the other hand, diagnosis and treatment must fulfil
early to be able to obtain a good functional result.
Monteggia fracture-dislocation treated between the year
1990 and 2003. The results were satisfactory in 29 patients,
intermediate in 4 cases and poor in the 2 remaining ones.
Conclusions: Treatment of this injury must be orthopaedic in
childhood. In the adults, on the contrary, the treatment must
be surgical and to consist of a stable osteosynthesis of the
fracture of the ulna with a DCP type plate. Reduction of the
head of the radius dislocation must be always tried by orthopaedic
methods since the results like that obtained are better.
If it is not possible, the open reduction can be tried, avoiding
providing that there is possible the resection of the radial
head. On the other hand, diagnosis and treatment must fulfil
early to be able to obtain a good functional result.
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