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báo cáo khoa học: " Stable relocation of the radial head without annular ligament reconstruction using the Ilizarov technique to treat neglected Monteggia fracture: two case reports"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Stable relocation of the radial head without annular ligament reconstruction using the Ilizarov technique to treat neglected Monteggia fracture: two case reports | Kawoosa et al. Journal of Medical Case Reports 2010 4 344 http www.jmedicalcasereports.eom content 4 1 344 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Stable relocation of the radial head without annular ligament reconstruction using the Ilizarov technique to treat neglected Monteggia fracture two case reports Altaf A Kawoosa Shabir A Dhar Mohammed Farooq Butt Shareef A Wani M R Mir T A Dar Abstract Introduction A Monteggia facture dislocation is not an uncommon injury and the diagnosis can often be missed. Long-term follow-up of untreated Monteggia fracture dislocations reveals development of premature arthritis pain instability and loss of pronation and supination. Methods involving annular ligament reconstruction require postoperative immobilization and use of transcapitellar pinning for maintenance of reduction and thus a delay in rehabilitation. The literature reports satisfactory results with methods that involve ulnar osteotomy and open reduction of the radial head without annular ligament reconstruction. We used the Ilizarov method in two cases with neglected Monteggia fracture dislocations to stably reduce the radial head without open reduction and annular ligament reconstruction. Case presentation We report two cases of neglected Monteggia fracture dislocation in two Kashmiri boys aged four and six years. Using ulnar osteotomy with distraction osteogenesis we were able to relocate the radial head gradually and maintain the reduction without a requirement for open reduction and annular ligament reconstruction. Conclusion Distraction lengthening and hyperangulation in different planes by use of the Ilizarov technique effectively reduces the radial head without open reduction and annular ligament reconstruction. Introduction Giovanni Battista Monteggia first described in 1814 the fracture dislocation now named after him. It represents a link between injuries of the forearm and the elbow 1 . These injuries follow the course of forearm .