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강경훈,오국환,윤형구,전광표,정대은,조남길 대한골절학회 1994 대한골절학회지 Vol.7 No.1
In 1814, Monteggia first described a fracture of proximal third of the ulna with dislocation of radial head, and Bado classified and included all fracture of ulna at any level with a dislocation of radial head under the name of Monteggia lesion in 1967. In adults, the prognosis is poor due to many complications such as nerve injury, unreduced radial head, heterotrophic ossification, nonunion and maiunion. The most important factors in achieving good results in adult Monteggia lesions are early acrurate diagnosis, rigid internal fixation of the ulna and complete redurtion of the radial head as soon as possible. The authors reviewed 12 cases of Monteggia fracture in adults who were treated at department of orthopaedic surgery, Sung-Ae General Hospital from 1989 jan. to 1991 Dec, with 17 months mean follow-up. The results obtained were as follows: 1. Male was 10 cases and female 2 cases. 2. The rauses of injury were traffic accident in 9 cases, marhinery injury in 2, fall down in l. 3. Location of ulna fracture was as follows; metaphysis was 4, proximal 1/3 in 6 cases, proximal 1/3 junction in 1, metaphysis and proximal 1/3 in l. 4. According to Bado classification, type I was 58%, type II 25%, type lll 17%, type IV 0%. 5. Treatments of dislorated radial head were closed reduction in 9 cases open reduction in 1 case, and excision in 2 cases. 6. Fractures of ulna were all treated with open reduction an$lt;l internal fixation with plate in 9 cases. IM nailing in 1 case, tension band wiring in 2 cases. 7. Palsy of posterior interosseous nerve was in 2 cases with complete recovery within 6 months. 8. The results (Bruce, et. al) 17 month follow-up in average were 2 excellent, 5 good, 2 fair and 3 poor.