Effect of an anterior approach open reduction and Y-shaped support plate internal fixation in the treatment of Monteeggzia fractures with radial nerve injury in children
Objective The effect of an anterior approach open reduction and Y-shaped support plate internal fixation in the treatment of children with Monteggia fracture complicated by radial nerve injury was analyzed.Methods Seventy-six children with a radial nerve injury due to a Monteggia fracture who were treated from February 2021 to April 2022 were included in the study and divided into three groups according to the treatment method.Group A(n=25)was treated with manual reduction plaster fixation,group B(n=25)was treated with open reduction plate internal fixation(without probing humeroradial joint),and group C(n=26)was treated with an open reduction Y-shaped support plate and internal fixation combined with exploration of the humeroradial joint using an anterior approach.All patients had follow-up evaluations after treatment,and the time of fracture healing,dislocation of the radial head,function of the elbow joint,and humerus and radial nerve function were recorded.Results The radial head dislocation rate in group C was significantly lower than groups A and B(P＜0.05).There was no significant difference in fracture healing time among the three groups(P＞0.05).The excellent elbow joint function rate in group C was significantly higher than in groups A and B(P＜0.05).The reflex status,flexion and extension cooperative movement,and separation movement scores in group C were significantly better than groups A and group B(P＜0.05).There was no significant difference in the excellent and good radial nerve function rates among the three groups(P＞0.05).Conclusion An ultrasonic-assisted anterior approach open reduction and Y-shaped support plate internal fixation combined with humeroradial joint exploration in the treatment of children with an acute Monteggia fracture and radial nerve injury has high excellent and good elbow joint rates,significant humeral function recovery,avoidance of radial head dislocation,and significant application value.
万方数据
维普
