![]() There was a significant correlation between the two scores (p = 0.01). The mean Broberg and Morrey score was 87.2 (45 to 100) and the mean DASH score was 17.4 (0 to 70). A total of 12 patients (26%) needed a second operation within 12 months of the initial operation. According to the Broberg and Morrey elbow scale, 22 patients (47%) had excellent, 12 (26%) good, nine (19%) fair and four (8%) poor results at the last follow-up. Of 63 adult patients who sustained a Monteggia fracture in a ten-year period, 47 were available for follow-up after a mean time of 8.4 years (5 to 14). This surgical procedure provides a high success rate with a low level of complications for chronic radial head dislocations in children.The objective of this retrospective study was to correlate the Bado and Jupiter classifications with long-term results after operative treatment of Monteggia fractures in adults and to determine prognostic factors for functional outcome. Other complications included 1 patient with transient posterior interosseous nerve palsy, and 1 delayed union of an ulnar osteotomy site, which healed without further intervention at 1 year with an excellent result. One case had a redislocation, was retreated, and had a fair result. Twelve of our cases had successful radial head reductions, satisfactory elbow mobility, and excellent functional outcome. Patient follow-up averaged 7.8 (range, 1-16.9) years after surgery. Evaluations were done at a special follow-up clinic for this study by a pediatric orthopaedic surgeon who was not involved in the patients' previous care. Forearm radiographs for reduction and osteotomy site union, physical examinations for elbow mobility, and Kim's elbow performance scores for overall elbow function. Open reduction of the radial head, ulnar osteotomy, then rigid fixation with plate/screws, and annular ligament reconstruction with forearm fascia, all performed through a Boyd incision. These patients were seen at our hospital 2 to 36 (mean, 8.2) months after injury. From 1986 to 2003, 13 children, aged 4 to 13 (mean, 8.3) years, who had a chronic traumatic anterior dislocation of the radial head were treated at our institute. Tertiary pediatric orthopaedic care unit at a general hospital in Taichung, Taiwan. To report the results of open reduction, ulnar osteotomy, and annular ligament reconstruction all through a Boyd incision for chronic radial head dislocations in children. If open reduction for the treatment of a missed Monteggia fracture is performed when the patient is less than twelve years of age or within three years after the injury, good long-term clinical and radiographic outcomes can be expected. A good radiographic result was obtained in all of the patients who had undergone open reduction within three years after the injury or before the age of twelve years, whereas a fair result was obtained in seven of the remaining eight patients. Radiographically, there were fifteen good, seven fair, and no poor results. In four patients, osteoarthritic changes were observed at the radiohumeral joint. The radial head remained in a completely reduced position in seventeen patients and was subluxated in five patients at the time of the latest follow-up. The postoperative Mayo Elbow Performance Index at the time of follow-up ranged from 65 to 100, with nineteen excellent, two good, one fair, and no poor results. Clinical and radiographic outcomes were reviewed over a mean duration of follow-up of seven years. Each patient had been managed with open reduction of the radial head combined with a posterior bending elongation ulnar osteotomy and anular ligament reconstruction. ![]() The study group included fourteen boys and eight girls who had had a mean age of ten years (range, four years to fifteen years and eleven months) at the time of open reduction. We postoperatively investigated the clinical and radiographic outcomes for twenty-two children with a missed Monteggia fracture. ![]() The purpose of the present study was to evaluate the long-term clinical and radiographic outcomes after open reduction for the treatment of a missed Monteggia fracture-dislocation. ![]() There have been few reports on the long-term outcomes after the operative treatment of missed Monteggia fracture-dislocations in children. ![]()
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