Intramedullary nail fixation for greenstick and plastic deformity of the ulna in Monteggia fractures. Report of four cases

Authors

  • Rodrigo Huertas Tafur Instituto de Ortopedia Infantil Roosevelt. Bogotá, Colombia
  • María C. Ponce de León Instituto de Ortopedia Infantil Roosevelt. Bogotá, Colombia
  • Camilo A. Estrada Cely Universidad El Bosque. Bogotá, Colombia
  • Edgar F. Ruiz Contreras Universidad El Bosque. Bogotá, Colombia
  • Ricardo José Méndez Medina Instituto de Ortopedia Infantil Roosevelt. Bogotá, Colombia

DOI:

https://doi.org/10.1016/j.rccot.2016.02.008

Keywords:

Monteggia fracture, elbow dislocation, children

Abstract

Four patients that presented a Monteggia fracture were treated by means of a closed reduction and percutaneous fixation of the ulna with an intramedullary nail as permanent treatment at the Roosevelt Institute for Orthopedics Pediatrics (IOIR). No relapse or infections occurred, which seems to indicate that this procedure is an effective technique for the treatment of this type of injury.
Level of evidence: IV.

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Author Biographies

Rodrigo Huertas Tafur, Instituto de Ortopedia Infantil Roosevelt. Bogotá, Colombia

Ortopedista Infantil, Departamento de Ortopedia Infantil, Instituto de Ortopedia Infantil Roosevelt, Bogotá, Colombia.

María C. Ponce de León, Instituto de Ortopedia Infantil Roosevelt. Bogotá, Colombia

Ortopedista Infantil, Departamento de Ortopedia Infantil, Instituto de Ortopedia Infantil Roosevelt, Bogotá, Colombia.

Camilo A. Estrada Cely, Universidad El Bosque. Bogotá, Colombia

Residente de Ortopedia y Traumatología, Universidad El Bosque, Bogotá, Colombia.

Edgar F. Ruiz Contreras, Universidad El Bosque. Bogotá, Colombia

Residente de Ortopedia y Traumatología, Universidad El Bosque, Bogotá, Colombia.

Ricardo José Méndez Medina, Instituto de Ortopedia Infantil Roosevelt. Bogotá, Colombia

Médico Epidemiólogo, Instituto de Ortopedia Infantil Roosevelt, Bogotá, Colombia.

References

Macintyre NR, Ilyas AM, Jupiter JB. Treatment of forearm fractures. Acta Chir Orthop Traumatol Cech. 2009;76:7-14. https://doi.org/10.55095/achot2009/001

Schmidt CM, Mann D, Schnabel M. Elastic stable intramedullary nailing as alternative therapy for pediatric Monteggia fractures. Unfallchirurg. 2008;111:350-7. https://doi.org/10.1007/s00113-007-1328-1

Eglseder WA, Zadnik M. Monteggia fractures and variants: review of distribution and nine irreducible radial head dislocations. South Med J. 2006;99:723-7. https://doi.org/10.1097/01.smj.0000224749.40702.32

Fowles JV, Sliman N, Kassab MT. The Monteggia lesion in children. Fracture of the ulna and dislocation of the radial head. J Bone Joint Surg Am. 1983;65:1276-82. https://doi.org/10.2106/00004623-198365090-00008

Devnani AS. Missed Monteggia fracture dislocation in children. Injury. 1997;28:131-3. https://doi.org/10.1016/S0020-1383(96)00160-X

Guven M, Eren A, Kadıoglu B, Yavuz U, Kilincoglu V, Ozkan K. The results of treatment in pediatric Monteggia equivalent lesions. Acta Orthop Traumatol Turc. 2004;42:90-6. https://doi.org/10.3944/AOTT.2008.42.2.090

Pugh DM, Galpin RD, Carey TP. Intramedullary Steinmann pin fixation of forearm fractures in children. Long-term results. Clin Orthop Relat Res. 2000;376:39-48. https://doi.org/10.1097/00003086-200007000-00007

Leonidou A, Pagkalos J, Lepetsos P, Antonis K, Flieger I, Tsiridis E, et al. Pediatric Monteggia fractures: a single-center study of the management of 40 patients. J Pediatr Orthop. 2012;32:352-6. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/22584834. https://doi.org/10.1097/BPO.0b013e31825611fc

Kemnitz S, De Schrijver F, De Smet L. Radial head dislocations with plastic deformation of the ulna in children. A rare and frequently missed condition. Acta Orthop Belg. 2000;66:359-62.

Barry M, Paterson JMH. Flexible intramedullary nails for fractures in children. J Bone Joint Surg Br. 2004;86:947-53. https://doi.org/10.1302/0301-620X.86B7.15273

Mann D, Schnabel M, Baacke M, Gotzen L. Results of elastic stable intramedullary nailing (ESIN) in forearm fractures in childhood. Unfallchirurg. 2003;106:102-9. https://doi.org/10.1007/s00113-002-0474-8

Slongo T, Fernandez FF. Incorrectly healed Monteggia lesion in childhood and adolescence. Unfallchirurg. 2011;114:311-22. https://doi.org/10.1007/s00113-011-1961-6

Stitgen A, McCarthy JJ, Nemeth BA, Garrels K, Noonan KJ. Ulnar fracture with late radial head dislocation: Delayed Monteggia fracture. Orthopedics. 2012;35:e434-7. https://doi.org/10.3928/01477447-20120222-35

Published

2016-04-13

How to Cite

1.
Huertas Tafur R, Ponce de León MC, Estrada Cely CA, Ruiz Contreras EF, Méndez Medina RJ. Intramedullary nail fixation for greenstick and plastic deformity of the ulna in Monteggia fractures. Report of four cases. Rev. colomb. ortop traumatol. [Internet]. 2016 Apr. 13 [cited 2024 May 18];29(4):158-63. Available from: https://revistasccot.org/index.php/rccot/article/view/415

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