| Autor: |
Scuccimarra, Tommaso, Fidanza, Andrea, Marzilli, Fabio, Erasmo, Rocco |
| Zdroj: |
Lo Scalpello; Dec2021, Vol. 35 Issue 3, p146-150, 5p |
| Abstrakt: |
Objective. This report aims to offer a practical protocol and indications on the acute management of Monteggia lesions in the adult population. Methods. We retrospectively analysed all patients with radius and ulna lesions treated over 5 years. Inclusion criteria were: patient with Monteggia injuries, age 18-100; exclusion criteria: Monteggia-like injury, peadiatric patient. Acute management consists of immediate close reduction of the radial head dislocation. All patients received ORIF with 3.5 mm LCP applied to the dorsal surface of the proximal ulna in compression mode. Elbow stability was always evaluated under anaesthesia. Results. Of a total of 3652 patients, 30 (0.82%) met inclusion criteria, and were classified as follow: 2 Bado I; 18 Bado II (4 2a;4 2b;7 2c;3 2d); 6 Bado 3; 4 Bado 4. Heterotopic periarticular ossifications formed in 2 patients. At 24 months, the follow-up VAS score was 1 and the Mayo elbow performance score was 85. Conclusions. The immediate management of radius head dislocation, preservation of the length of the radial column and a stable anatomic synthesis of the ulnar fracture are the key treatment principles in Monteggia lesions. To minimise the risk of arthrofibrosis and stiffness and promote bone healing, indomethacin, muscle relaxants and vitamin D are administered. It is important to inform the patient that restitutio ad integrum after this type of injury is almost impossible. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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