Effect Observation of Allogenic Fascia Reconstruction of Annular Ligament in the Treatment of Old Monteggia Frac-ture in Children
WANG Dong-biao
WANG Dong-xia
ZHAI Jun
GAI Jian-lin
TIAN Li
LI Juan
Abstract：Objective To evaluate the clinical effect of allogenic fascia reconstruction of annular ligament in the treatment of old Monteggia fracture in children. Methods A total of 11 children with old Monteggia fractures in our hospital were treated with allogenic fascia reconstruction of annular ligament and kirschner wire fixation of humeroradial joint and proxi-mal ulna and radial after surgery. The treatment results were observed. Results The age of the patients ranged from 6 years to 13 years old during the operations. The duration between injury and treatment ranged 1-3 years. The average operation time was 70 min and the average amount of bleeding in operation was 150 ml. All the 11 cases were followed up for 1. 0-3. 5 years, and the average follow-up period was 2. 58 years. Elbow joint function returning to normal in 7 cases;different degrees of rota-tion function limitation in 2 cases, average rotation limitation was 35°, average limited pronation and supination were 15° and 20° flexion and extension was limited in 1 case, straight limitation was 10°, with no obvious constrained buckling; Radial neck thinning in 1 case. Conclusion Allogenic fascia reconstruction of annular ligament is less invasive and can achieve a better clinical effect in the treatment of old Monteggia fracture in children than the application of autologous fascia.
Keywords：Ulna fractureRadiusDislocationAllogeneic fasciaReconstruction of the annular ligament
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 86-88 )