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|Title:||Open reduction and annular ligament reconstruction with fascia of the forearm in chronic Monteggia lesions in children|
|Keywords:||Annular ligament reconstruction|
|Citation:||Hui, J.H.P., Sulaiman, A.R., Lee, H.-C., Lam, K.-S., Lee, E.-H. (2005-07). Open reduction and annular ligament reconstruction with fascia of the forearm in chronic Monteggia lesions in children. Journal of Pediatric Orthopaedics 25 (4) : 501-506. ScholarBank@NUS Repository. https://doi.org/10.1097/01.bpo.0000158812.37225.b3|
|Abstract:||Fifteen children with chronic Monteggia lesions were treated with open reduction, annular ligament reconstruction with fascia of the forearm, and ulnar osteotomy. Mean age was 8 years 3 months (range 3-16 years). The chronicity of missed Monteggia was from 6 weeks to 2 years (mean 12 weeks). All patients were classified as Bado type I, except one with Bado type III. Mean follow-up was 4 years 3 months after surgery. There was a loss of pronation in six cases with the mean of 16 degrees. However, only four cases had rotational loss; the others had a mean rotational arch increase of 5 degrees. The flexion arches improved in all patients, with a mean of 27.7 degrees. The functional result was excellent in 11 patients, good in 3 patients, and poor in 1 patient. This one-incision approach is safe in treating chronic Monteggia lesions in children. Copyright © 2005 by Lippincott Williams & Wilkins.|
|Source Title:||Journal of Pediatric Orthopaedics|
|Appears in Collections:||Staff Publications|
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