Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Surgical Treatment of Neglected Adult Monteggia Fracture - 2 Cases Report -

성인의 만성 Monteggia 골절의 수술적 치료 - 2예 보고 -

  • Shon, Hyun-Chul (Department of Orthopedic Surgery, Chungbuk National University College of Medicine) ;
  • Kim, Weon-Yoo (Daejon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Park, Sang-Eun (Daejon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Young-Yul (Daejon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Yoon, Jong-Seoung (Daejon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Ji, Jong-Hun (Daejon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
  • 손현철 (충북대학교 의과대학) ;
  • 김원유 (가톨릭대학교 의과대학 대전성모병원 정형외과학교실) ;
  • 박상은 (가톨릭대학교 의과대학 대전성모병원 정형외과학교실) ;
  • 김영율 (가톨릭대학교 의과대학 대전성모병원 정형외과학교실) ;
  • 윤종성 (가톨릭대학교 의과대학 대전성모병원 정형외과학교실) ;
  • 지종훈 (가톨릭대학교 의과대학 대전성모병원 정형외과학교실)
  • Published : 2006.12.15
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Abstract

Neglected adult Monteggia fracture could induce the pain, instability and malformation of elbow. Especially, compared with the chronic Monteggia fracture of child, that of adult is difficult to treat and could concur with valgus instability and deformity, limitation of range of motion and tardy ulnar nerve palsy. But recently, the chronic Monteggia fracture of adult could be treated by the 3.5 mm compression plate (DCP) or 3.5 mm pelvic reconstruction plate, so that the result improved more and more. The treatment of choice of the chronic Monteggia fracture of adult is the corrective osteotomy and reduction of radial head or resection of radial head. We experienced two patients who had neglected Monteggia fracture over 1 year 6 months and 25 years respectively and we want to report the result of surgical treatment of chronic Monteggia fracture of adult.

Keywords

References

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