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Open reduction combined with CORA-based osteotomy of the ulna in the treatment of missed Bado type I Monteggia injury: A retrospective study of 5 cases.

Abstract Open reduction combined with ulnar osteotomy is the most common approach to treating missed Monteggia injuries. The osteotomy is usually performed at the proximal ulna to ensure better healing and fewer complications. The purpose of this study is to present a center of rotation angulation (CORA)-based osteotomy of the ulna for treating Bado type I Monteggia injuries.We retrospectively reviewed the cases of patients who were treated with open reduction combined with a CORA-based ulnar osteotomy between February 2014 and December 2016. Each patient provided his or her internal control, and paired data of the involved and uninvolved sides were analyzed to evaluate forearm rotation function.Five patients (3 male, 2 female) with median age 5.7 years (range, 3.4-6.8 years) were operated on by the senior author in our hospital. The median interval between the original injury and the corrective surgery was 3 months (range, 1-4 months). In a median follow-up of 10 months (range, 6-17 months), all patients obtained stable reduction of the radial head and uneventful healing of the ulnar osteotomy. All patients had pain-free elbows with no neurological or vascular complications and no implant breakage. Patients showed excellent outcomes evaluated using the Broberg and Morrey index.Open reduction with a CORA-based osteotomy of the ulna for the treatment of missed Bado type I Monteggia injury with an obvious ulnar bowing deformity resulted in stable reduction of the radial head and excellent forearm function.
PMID
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Authors

Mayor MeshTerms

Open Fracture Reduction

Osteotomy

Ulna

Keywords
Journal Title medicine
Publication Year Start




PMID- 29381932
OWN - NLM
STAT- MEDLINE
DCOM- 20180208
LR  - 20180208
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 47
DP  - 2017 Nov
TI  - Open reduction combined with CORA-based osteotomy of the ulna in the treatment of
      missed Bado type I Monteggia injury: A retrospective study of 5 cases.
PG  - e8609
LID - 10.1097/MD.0000000000008609 [doi]
AB  - Open reduction combined with ulnar osteotomy is the most common approach to
      treating missed Monteggia injuries. The osteotomy is usually performed at the
      proximal ulna to ensure better healing and fewer complications. The purpose of
      this study is to present a center of rotation angulation (CORA)-based osteotomy
      of the ulna for treating Bado type I Monteggia injuries.We retrospectively
      reviewed the cases of patients who were treated with open reduction combined with
      a CORA-based ulnar osteotomy between February 2014 and December 2016. Each
      patient provided his or her internal control, and paired data of the involved and
      uninvolved sides were analyzed to evaluate forearm rotation function.Five
      patients (3 male, 2 female) with median age 5.7 years (range, 3.4-6.8 years) were
      operated on by the senior author in our hospital. The median interval between the
      original injury and the corrective surgery was 3 months (range, 1-4 months). In a
      median follow-up of 10 months (range, 6-17 months), all patients obtained stable 
      reduction of the radial head and uneventful healing of the ulnar osteotomy. All
      patients had pain-free elbows with no neurological or vascular complications and 
      no implant breakage. Patients showed excellent outcomes evaluated using the
      Broberg and Morrey index.Open reduction with a CORA-based osteotomy of the ulna
      for the treatment of missed Bado type I Monteggia injury with an obvious ulnar
      bowing deformity resulted in stable reduction of the radial head and excellent
      forearm function.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Xu, Zhenyu
AU  - Xu Z
AD  - Department of Pediatric Orthopedics, Shanghai Children's Medical Center, Shanghai
      Jiaotong University School of Medicine, Shanghai, China.
FAU - Li, Yuchan
AU  - Li Y
FAU - Wang, Zhigang
AU  - Wang Z
FAU - Cai, Haiqing
AU  - Cai H
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Arthralgia/etiology/prevention & control
MH  - Child
MH  - Child, Preschool
MH  - China
MH  - Elbow Joint/physiopathology
MH  - Female
MH  - Humans
MH  - Male
MH  - Monteggia's Fracture/diagnosis/*surgery
MH  - Nervous System Diseases/etiology/prevention & control
MH  - *Open Fracture Reduction/instrumentation/methods
MH  - *Osteotomy/adverse effects/methods
MH  - Outcome and Process Assessment (Health Care)
MH  - Postoperative Complications/*prevention & control
MH  - Radiography/methods
MH  - Radius/surgery
MH  - Recovery of Function
MH  - Retrospective Studies
MH  - *Ulna/diagnostic imaging/injuries/physiopathology/surgery
MH  - Vascular Diseases/etiology/prevention & control
PMC - PMC5708931
EDAT- 2018/02/01 06:00
MHDA- 2018/02/09 06:00
CRDT- 2018/02/01 06:00
PHST- 2018/02/01 06:00 [entrez]
PHST- 2018/02/01 06:00 [pubmed]
PHST- 2018/02/09 06:00 [medline]
AID - 10.1097/MD.0000000000008609 [doi]
AID - 00005792-201711270-00023 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Nov;96(47):e8609. doi: 10.1097/MD.0000000000008609.