![]() Stabilization of the radial head with adequate elongation and balanced angulation of the osteotomy through direct observation is the main way to ensure and maintain satisfactory outcomes. The PUL and MID were significantly increased from 1.06☐.03 and 1.11☐.26 to 1.13☐.11 (P=0.047) and 1.28☐.27 (P=0.021), separately.Ĭonclusions: We highlight ulnar osteotomy as the essential procedure during reconstruction surgeries. The lengthening of the ulna was proportional to the magnitude of angulation of the ulna (r=0.648, P=0.004), and a positive correlation was also seen between the lengthening and the interval (r=0.632, P=0.005) and the angulation and the interval (r=0.502, P=0.034). The mean posterior bending angle was 12.88° (range, 3 to 25°), and the mean amount of elongation of the ulna was 8.78 mm (range, 3.61 to 17.52 mm). A good reduction was observed in 15 (83.33%) patients, while 3 (16.67%) patients were fair. ![]() ![]() Results: The mean interval was 11.1 months and the follow-up time was 46.6 months. The relationship between the lengthening and angulation of ulna and the interval was calculated. Parameters were compared at the time of pre-operation and the last follow-up. The final reduction statuses of the radial head were reviewed. Radiographic parameters of maximum interosseous distance (MID), proportional ulnar length (PUL), lengthening, and bending angle of the ulna were summarized. Electronic medical records of Bado type, complaints, Kim scores, and complications were recorded. Methods: We retrospectively reviewed 18 children with a mean age of 6.78☒.67 years old who underwent surgical treatment because of CMF. We describe our initial experience with ulnar osteotomy and angulation on correction with modified open surgery and evaluate outcomes from clinical and radiographic findings. Interviews with Outstanding Guest Editorsīackground: The treatment of chronic Monteggia fracture-dislocation (CMF) remains controversial and challenging for surgeons.Policy of Dealing with Allegations of Research Misconduct.Policy of Screening for Plagiarism Process.
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