Monteggia's骨折脱位的相关内容回顾  

Monteggia fracture-dislocation in adults

作　　者：蒋协远[1] 张健[1] 王满宜[1] 荣国威[1] 

机构地区：[1]北京积水潭医院创伤骨科,北京市100035

出　　处：《中华创伤骨科杂志》2004年第6期681-684,共4页Chinese Journal of Orthopaedic Trauma

摘　　要：Monteggias骨折脱位是指任何部位的尺骨骨折合并桡骨头脱位。这种累及前臂和肘部的损伤并不常见,其发生率约占前臂骨折总数的5%。本文通过回顾Monteggia’s骨折脱位的历史发展,进一步明确了其定义分型、损伤机制和治疗原则,并对现有的治疗方法和预后评价标准进行了总结,并指出治疗的关键是及时诊断和及时治疗,使尺骨获得优良的解剖复位和稳定固定,另外必须重视对发生在肘关节水平的合并损伤的处理,包括冠状突骨折、桡骨头骨折、肱尺关节后外侧旋转不稳定等。而尺骨的粉碎骨折合并桡骨头骨折、冠状突骨折都将明显影响预后。Monteggia fracture dislocation refers to the fracture of the ulna with associated dislocation of the radial head. This rare injury only accounts for less than 5%of all the forearm fractures. By literature review of the history of Monteggia fracture dislocation, the authors further clarify the definition, classification, injury mechanism and treatment protocol of this special type of fracture. The key to a good result of the treatment for a Monteggia fracture dislocation is timely diagnosis and management so that anatomic reduction and stable fixation of the ulna can be achieved. In addition, enough attention must be paid to the associated injuries at the level of the elbow, including fractures of the coronoid process and the radial head as well as posterolateral rotatory instability of the ulnohumeral articulation. The factors strongly affecting prognosis include comminuted fractures of the ulna combined with fractures of the radial head and coronoid process.

关 键 词：MONTEGGIA 手术 内固定 

分 类 号：R683.41[医药卫生—骨科学]