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Abstract
In 1814, Monteggia described two cases characterized by a fracture of shaft of the ulna and distribution of the head of radius. The incidance is rare in child. The important factors in good results need accurate diagnosis, rigld internal fixation of ulna fracture and complete reduction of the dislocated radial read.
6 Monteggia fracture in children were treated from 1984 to 1990 at In Je Paik Hospital, Busan.
The results obtained were as follows;
1. The causes of injuries were failing down(3 cases), slipped down(1 case), and traffic accident(2 cases).
2. Bados type I was 4 cases, and type III was 2 cases.
3. Radial nerve injury was in 2 cases with lateral dislocation of radial head.
4. Closed reduction of radlal head dislocation was done in 4 cases, open reduction internal fixation with K-wire and excision in 1 case, and annular ligament reconstruction in 1 case.
5. Clased reduction of ulna fracture was done in 4 cases, open reduction internal fixation with plate and screws in 1 case, and closed reduction internal fixation with K-wire and osteotomy of ulna in 1 case.
6. The results(Bruce et at criteria) were excellent in 4 cases, good in 1 cases, and fair in 1 case.
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