The results of treatment in pediatric Monteggia equivalent lesions

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dc.contributor.authorGuven, Melih
dc.contributor.authorEren, Abdullah
dc.contributor.authorKadioglu, Baris
dc.contributor.authorYavuz, Umut
dc.contributor.authorKilincoglu, Volkan
dc.contributor.authorOzkan, Korhan
dc.date.accessioned2024-09-25T19:57:25Z
dc.date.available2024-09-25T19:57:25Z
dc.date.issued2008
dc.departmentAbant İzzet Baysal Üniversitesien_US
dc.description.abstractObjectives: We evaluated the results of conservative and surgical treatment of pediatric Monteggia equivalent lesions. Methods: The study included 13 children (3 females, 10 males; mean age 8 years; range 4 to 13 years) who underwent treatment for Monteggia equivalent lesions. Seven patients (53.9%) had Bado type I and six patients (46.2%) had type 3 equivalent lesions. Two patients with type 3 equivalent lesions also had a lateral humeral condyle fracture. On presentation, one patient (7.7%) had radial nerve palsy. Primarily, closed reduction was attempted in all the patients except for one patient who underwent urgent debridement and irrigation for an open fracture-dislocation. Reduction was successful in eight patients (61.5%). Upon failure of closed reduction, four patients (30.8%) underwent surgery within the first 24 hours of injury. Functional assessment was made according to the Reckling's criteria. The mean follow-up period was 4.1 years (range 2 to 7 years). Results: None of the patients had nonunion. Conservative treatment did not result in loss of reduction of the radius head or limitation in the range of motion of the elbow joint. Except for the patient with an open fracture-dislocation leading to a poor functional result, the results were good in all the patients receiving conservative or surgical treatment. One patient (7.7%) treated conservatively developed cubitus varus (5 degrees) and posterior angulation (20 degrees) of the ulnar fracture line. One patient treated surgically had limitation of supination (10 degrees) without limitation of flexion or extension of the elbow joint. Accompanying radial nerve palsy in this patient disappeared in the postoperative third month. Conclusion: Closed reduction is the first choice of treatment in pediatric Monteggia equivalent lesions. Surgical treatment becomes necessary if closed reduction fails.en_US
dc.identifier.endpage96en_US
dc.identifier.issn1017-995X
dc.identifier.issue2en_US
dc.identifier.pmid18552529en_US
dc.identifier.scopus2-s2.0-58749108302en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage90en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12491/13403
dc.identifier.volume42en_US
dc.identifier.wosWOS:000258834800005en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isotren_US
dc.publisherTurkish Assoc Orthopaedics Traumatologyen_US
dc.relation.ispartofActa Orthopaedica Et Traumatologica Turcicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzYK_20240925en_US
dc.subjectchilden_US
dc.subjectdislocations/therapyen_US
dc.subjectfracture fixation, internalen_US
dc.subjectMonteggia's fracture/therapyen_US
dc.subjectradius fractures/therapyen_US
dc.titleThe results of treatment in pediatric Monteggia equivalent lesionsen_US
dc.typeArticleen_US

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