genortГений ортопедииGenij Ortopedii1028-44272542-131XЦЕНТР ИЛИЗАРОВА10.18019/1028-4427-2021-27-3-319-321genort-2639Research ArticleОригинальные статьиOriginal articlesРезультаты использования внешнего мини-фиксатора Илизарова при переломах Монтеджиа у детейOutcomes using the Ilizarov external mini-fixator for Monteggia fractures in childrenLiK.LiK.

Kewei Li,

Shijiazhuang

Kewei Li,

Shijiazhuang

690153442@qq.comRongS.RongS.

Shuai Rong,

Shijiazhuang

Shuai Rong,

Shijiazhuang

690153442@qq.comZhengC.ZhengC.

Chong Zheng,

Shijiazhuang

Chong Zheng,

Shijiazhuang

690153442@qq.comTengY.TengY.

Yong Teng,

Urumqi

Yong Teng,

Urumqi

690153442@qq.comLiH.LiH.

Hao Li, 

Shijiazhuang

Hao Li,

Shijiazhuang

690153442@qq.comLiuL.LiuL.

Liantao Liu,

Shijiazhuang

Liantao Liu,

Shijiazhuang

690153442@qq.comZhenK.ZhenK.

Kepei Zhen,

Shijiazhuang

Kepei Zhen,

Shijiazhuang

690153442@qq.comShenX.ShenX.

Xiaoyu Shen,

Shijiazhuang

Xiaoyu Shen,

Shijiazhuang

690153442@qq.comFengJ.FengJ.

Jianshu Feng,

Shijiazhuang

Jianshu Feng,

Shijiazhuang

690153442@qq.comLiF.LiF.

Feng Li,

Shijiazhuang

Feng Li,

Shijiazhuang

690153442@qq.comThe Third Hospital of Shijiazhuang CityКитайThe Third Hospital of Shijiazhuang CityChinaThe General Hospital of Xinjiang Military RegionКитайThe General Hospital of Xinjiang Military RegionChina202128062021273№ 3 (2021)319321Copyright © Li K., Rong S., Zheng C., Teng Y., Li H., Liu L., Zhen K., Shen X., Feng J., Li F., 20212021Li K., Rong S., Zheng C., Teng Y., Li H., Liu L., Zhen K., Shen X., Feng J., Li F.Li K., Rong S., Zheng C., Teng Y., Li H., Liu L., Zhen K., Shen X., Feng J., Li F.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ilizarov-journal.com/jour/article/view/2639Цель

Цель. Оценить результаты использования внешней мини-фиксации по Илизарову при лечении переломов Монтеджиа (вывих головки лучевой кости с сопутствующим переломом проксимального отдела локтевой кости) у детей.

Материалы и методы

Материалы и методы. В исследование включены дети с переломом локтевой кости в проксимальном отделе, которым была проведена операция по репозиции перелома с использованием внешних мини-фиксаторов Илизарова с последующей иммобилизацией супинированного предплечья гипсом. Нарушения оценивали во время операции с помощью артрографии. Критерии Маккея использовались для оценки клинических исходов при последующем наблюдении.

Результаты

Результаты. Всего в исследование было включено 15 детей. Эффективность по Mackay составила 100 %, что свидетельствует об отличных результатах при использовании внешнего мини-фиксатора Илизарова.

Заключение

Заключение. Использование внешнего мини-фиксатора Илизарова особенно целесообразно при лечении детей с оскольчатыми и компрессионными переломами проксимального отдела локтевой кости. Он прост в эксплуатации, малоинвазивен и требует дальнейшего продвижения. 

Objective

Objective. To evaluate the use of Ilizarov external mini-fixation in the treatment of Monteggia fractures (dislocation of the radial head with an associated fracture of the proximal ulna) in children.

Methods

Methods. Children with proximal ulnar fracture were included and underwent fracture reduction surgery with Ilizarov external mini-fixators, followed by immobilization of the supinated forearm with plaster. The reduction was evaluated intra-operatively using arthrography. Mackay criteria were used to evaluate clinical outcomes at follow-up.

Results

Results. A total of 15 children were included in the study. Mackay efficacy was 100 %, indicating excellent outcomes using the Ilizarov external mini-fixator.

Conclusion

Conclusion. Use of the Ilizarov external mini–fixator is particularly suitable in the treatment of children with comminuted and compression fractures of proximal ulna. It is easy to operate, low invasive and is worthy of promotion.

childrenulnaMonteggia fracturesIlizarov mini-fixatorarthrographyplaster immobilizationchildrenulnaMonteggia fracturesIlizarov mini-fixatorarthrographyplaster immobilizationShijiazhuang City Science and Technology Research and Development Guidance Plan Project (No. 171462323); National Natural Science Foundation of China (No. 31360229, 51165044); Xinjiang Uygur Autonomous Region Regional Collaborative Innovation Special Project (No.2019E0277)Shijiazhuang City Science and Technology Research and Development Guidance Plan Project (No. 171462323); National Natural Science Foundation of China (No. 31360229, 51165044); Xinjiang Uygur Autonomous Region Regional Collaborative Innovation Special Project (No.2019E0277).ReferencesJohnson N.P., Silberman M. Monteggia Fractures // Treasure Island (FL): StatPearls Publishing. 2021. [Internet].Johnson N.P., Silberman M. Monteggia Fractures // Treasure Island (FL): StatPearls Publishing. 2021. [Internet].Rockwood and Wilkins' fractures in children / J.M. Flynn, D.L. Skaggs, P.M. Waters. Ed. by J.M. Flynn, D.L. Skaggs, P.M. Waters. Eighth edition. Wolters Kluwer Health, 2014.Rockwood and Wilkins' fractures in children / J.M. Flynn, D.L. Skaggs, P.M. Waters. Ed. by J.M. Flynn, D.L. Skaggs, P.M. Waters. Eighth edition. Wolters Kluwer Health, 2014.Korobeinikov A., Popkov D. Use of external fixation for juxta-articular fractures in children // Injury. 2019. Vol. 50, No Suppl. 1. P. S87-S94. DOI: 10.1016/j.injury.2019.03.043Korobeinikov A., Popkov D. Use of external fixation for juxta-articular fractures in children // Injury. 2019. Vol. 50, No Suppl. 1. P. S87-S94. DOI: 10.1016/j.injury.2019.03.043Complications during the treatment of missed Monteggia fractures with unilateral external fixation: a report on 20 patients in a 10-year period in a tertiary referral center / G. Gallone, G. Trisolino, S. Stilli, G.L. Di Gennaro // J. Pediatr. Orthop. B. 2019. Vol. 28, No 3. P. 256-266. DOI: 10.1097/BPB.0000000000000592Complications during the treatment of missed Monteggia fractures with unilateral external fixation: a report on 20 patients in a 10-year period in a tertiary referral center / G. Gallone, G. Trisolino, S. Stilli, G.L. Di Gennaro // J. Pediatr. Orthop. B. 2019. Vol. 28, No 3. P. 256-266. DOI: 10.1097/BPB.0000000000000592Is tension band wiring technique the "gold standard" for the treatment of olecranon fractures? A long term functional outcome study / B.E. Chalidis, N.C. Sachinis, E.P. Samoladas, C.G. Dimitriou, J.D. Pournaras // J. Orthop. Surg. Res. 2008. Vol. 3. P. 9. DOI: 10.1186/1749-799X-3-9Is tension band wiring technique the "gold standard" for the treatment of olecranon fractures? A long term functional outcome study / B.E. Chalidis, N.C. Sachinis, E.P. Samoladas, C.G. Dimitriou, J.D. Pournaras // J. Orthop. Surg. Res. 2008. Vol. 3. P. 9. DOI: 10.1186/1749-799X-3-9The effectiveness of distraction lengthening in traumatic hand amputation with Ilizarov mini fixator / T. Kanchanathepsak, H. Gotani, Y. Hamada, Y. Tanaka, K. Sasaki, H. Yagi, Y. Kubota, T. Tawonsawatruk // Injury. 2020. Vol. 51, No. 12. P. 2966-2969. DOI: 10.1016/j.injury.2020.02.080The effectiveness of distraction lengthening in traumatic hand amputation with Ilizarov mini fixator / T. Kanchanathepsak, H. Gotani, Y. Hamada, Y. Tanaka, K. Sasaki, H. Yagi, Y. Kubota, T. Tawonsawatruk // Injury. 2020. Vol. 51, No. 12. P. 2966-2969. DOI: 10.1016/j.injury.2020.02.080Minimally invasive corrective osteotomy with the Ilizarov mini-fixator for malunited fractures of the phalanges: a technical note / Y. Tomori, M. Nanno, S. Kentrao, T. Majima // J. Nippon Med. Sch. 2020. DOI: 10.1272/jnms.JNMS.2021_88-314Minimally invasive corrective osteotomy with the Ilizarov mini-fixator for malunited fractures of the phalanges: a technical note / Y. Tomori, M. Nanno, S. Kentrao, T. Majima // J. Nippon Med. Sch. 2020. DOI: 10.1272/jnms.JNMS.2021_88-314Danilkin M.Y. Phalangeal Lengthening Techniques for Brachydactily and Posttraumatic Digital Stumps with the Use of a Modified External MiniFixator // Tech. Hand Up. Extrem. Surg. 2016. Vol. 20, No. 2. P. 61-66. DOI: 10.1097/BTH.0000000000000116Danilkin M.Y. Phalangeal Lengthening Techniques for Brachydactily and Posttraumatic Digital Stumps with the Use of a Modified External MiniFixator // Tech. Hand Up. Extrem. Surg. 2016. Vol. 20, No. 2. P. 61-66. DOI: 10.1097/BTH.0000000000000116Zolotov A.S. Open Infected Seymour Fracture // J. Hand Surg. Asian Pac. Vol. 2019. Vol. 24, No 4. P. 488-490. DOI: 10.1142/S2424835519720196Zolotov A.S. Open Infected Seymour Fracture // J. Hand Surg. Asian Pac. Vol. 2019. Vol. 24, No 4. P. 488-490. DOI: 10.1142/S2424835519720196

The authors declare that there are no conflicts of interest present.