Outcomes using the Ilizarov external mini-fixator for Monteggia fractures in children

K Li,L Liu,H Li,F Li,Xiaofeng Shen ,Kai-Da Zhen ,Yu-Jing Teng ,Shaoyuan Rong ,Chao Zheng ,Jiu-Cheng Feng

doi:10.18019/1028-4427-2021-27-3-319-321

Abstract

Objective To evaluate the use of Ilizarov external mini-fixation in the treatment of Monteggia fractures (dislocation of the radial head with an associated fracture of the proximal ulna) in children. Methods Children with proximal ulnar fracture were included and underwent fracture reduction surgery with Ilizarov external mini-fixators, followed by immobilization of the supinated forearm with plaster. The reduction was evaluated intra-operatively using arthrography. Mackay criteria were used to evaluate clinical outcomes at follow-up. Results A total of 15 children were included in the study. Mackay efficacy was 100 %, indicating excellent outcomes using the Ilizarov external mini-fixator. Conclusion Use of the Ilizarov external mini–fixator is particularly suitable in the treatment of children with comminuted and compression fractures of proximal ulna. It is easy to operate, low invasive and is worthy of promotion.

Highlights

Studies on the pathology, classification, diagnosis, and treatment of fractures of the proximal ulna, Monteggia fractures, in children have been published for more than a century [1]
The goal of this study was to evaluate whether Ilizarov external mini–fixation is suitable for the treatment of Monteggia fractures in children
Literature on Monteggia fractures in children establishes thorough knowledge and understanding of the treatment principles for Monteggia fractures repair in children which are to correct ulnar deformities, maintain the length of the ulna, reduce the fracture, and ensure humeroradial joint stability

Summary

Introduction

Classification, diagnosis, and treatment of fractures of the proximal ulna, Monteggia fractures, in children have been published for more than a century [1]. This type of fracture in children still poses challenges for orthopedic surgeons. The treatment principles for Monteggia fractures repair in children is to correct ulnar deformity, maintain the length of the ulna, restore the humeroradial joint, and ensure the stability of the fracture. A suitable surgical method must be chosen on the basis of these treatment principles. The goal of this study was to evaluate whether Ilizarov external mini–fixation is suitable for the treatment of Monteggia fractures in children

Methods

Discussion

Conclusion