ArticleFrontiers in surgery2026
Five-in-one surgery: an integrated approach for chronic Monteggia fracture in children.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: To evaluate the clinical efficacy of the five-in-one surgical approach-comprising Methods: From January 2023 to January 2025, 17 children with Bado Type I chronic Monteggia fractures underwent the five-in-one surgery, with a mean follow-up of 15.3 months (range, 12-36 months). Results: Anatomical reduction of the radial head was achieved and maintained in 15 patients, and all ulnar osteotomies achieved bony union. Two patients experienced redislocation of the radial head, resulting in a redislocation rate of 11.8%. Significant improvement was observed in elbow flexion (122.4 ± 12.5° vs. 126.5±6.1°, Discussion: The five-in-one protocol effectively restores radiocapitellar stability and elbow function in children with Bado Type I chronic Monteggia fractures.
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