Open AccessOutcomes using the Ilizarov external mini-fixator for Monteggia fractures in children
Author(s) -
K. Li,
Shaoyuan Rong,
Chao Zheng,
Yu-jing Teng,
H. Li,
L. Liu,
Kai-da Zhen,
Xiaofeng Shen,
Jiu-cheng Feng,
F. Li
Publication year - 2021
Publication title -
genij ortopedii
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.141
H-Index - 3
eISSN - 2542-131X
pISSN - 1028-4427
DOI - 10.18019/1028-4427-2021-27-3-319-321
Subject(s) - medicine , external fixator , surgery , ulna , ilizarov technique , reduction (mathematics) , external fixation , fixation (population genetics) , forearm , orthodontics , population , geometry , mathematics , environmental health
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.