Neglected monteggia fracture-dislocations in children

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dc.contributor.authorAtic, Ramazan
dc.contributor.authorYildirim, Azad
dc.contributor.authorYigit, Sehmus
dc.contributor.authorAydin, Abdulkadir
dc.date.accessioned2024-04-24T17:24:41Z
dc.date.available2024-04-24T17:24:41Z
dc.date.issued2018
dc.departmentDicle Üniversitesien_US
dc.description.abstractAim: Presently, there are few large-scale studies and no clear consensus on the type of osteotomy or ligamentoplasty to be performed in neglected Monteggia fractures-dislocations cases. The goal of this study was to report the results from neglected Monteggia fractures and dislocations. Material and Method: Thirteen children and adolescents with neglected Monteggia fractures and dislocations were treated between 2009 and 2012. There were 11 males and two females with a mean age of 8.5 (range 2-15) years. Based on the BADO classification, 11 patients had type 1, one patient had type 3, and one patient had type 4 injuries. Time delay from symptom onset to fracture was 8.84 (3-24) months. The data were analyzed using R version 3.1.1 and multiple statistical analyses were conducted. Results: A postoperative Mayo Elbow Performance Index (MEPI) at the time of follow-up was recorded. Nine patients received an excellent grade, while three had good and one had a fair result with no poor results recorded. Radiographically, there were nine good, four fair, and no poor score results. The length of hospitalization was a mean of 3 days. The mean duration of follow-up was 2.9 (range 1.5-4.5) years from the initial presentation, and only one patient developed subluxation for which no additional intervention was performed. Discussion: This case series demonstrates that early diagnosis increases the success rate in patients younger than 10 years and less than a 1-year interval between the trauma and diagnosis. Unless it is kept for a prolonged time, a condyloradial pin can be applied in necessary cases.en_US
dc.identifier.doi10.4328/JCAM.5754
dc.identifier.endpage328en_US
dc.identifier.issn1309-0720
dc.identifier.issn1309-2014
dc.identifier.issue4en_US
dc.identifier.startpage323en_US
dc.identifier.urihttps://doi.org/10.4328/JCAM.5754
dc.identifier.urihttps://hdl.handle.net/11468/19793
dc.identifier.volume9en_US
dc.identifier.wosWOS:000435650500014
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.language.isoenen_US
dc.publisherDerman Medical Publen_US
dc.relation.ispartofJournal of Clinical and Analytical Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectMonteggia Fractureen_US
dc.subjectRadius Head Dislocationen_US
dc.subjectPediatric Fracturesen_US
dc.titleNeglected monteggia fracture-dislocations in childrenen_US
dc.typeArticleen_US

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