ArticleFrontiers in pediatrics2026
Comparison of multi-track mini single arm external fixation and plate internal fixation in the treatment of missed Monteggia fracture in children.
Article in Frontiers in pediatrics, 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
Objective: To analyze the effect of multi-track mini single arm external fixation and plate internal fixation in the treatment of missed Monteggia fracture in children. Methods: Retrospectively analyzed the data of 22 children with missed Monteggia fracture admitted to the General Hospital of Ningxia Medical University from April 2018 to October 2024. There were 14 males, 8 females, 5 on the left side, and 17 on the right side. Age (5.3 ± 1. 9) years old at the time of injury, 17 cases of Radiocapitellar dislocation forward, 1 case of posterior dislocation, and 4 cases of anterolateral dislocation. The time from injury to surgery was (31.0 ± 11.5) months, and all patients were treated with Boyd's approach multi-track mini single arm external fixation or plate internal fixation. The range of elbow flexion and extension, the range of forearm rotation, the length of operation and the volume during operation, the range of elbow flexion and extension, the range of forearm rotation, the Mayo score of elbow and the healing time of osteotomy were measured and compared in all patients. At the same time, the incidence of complications was recorded. Results: All patients were followed up for 12 months. There was no statistical difference between the two groups in the range of motion of the elbow joint before operation ( Conclusion: Both multi-track mini single arm external fixation and plate internal fixation can effectively treat the missed diagnosis of missed Monteggia fracture in children. The former may have more prominent advantages in operative efficiency and postoperative recovery of elbow flexion and forearm rotation.
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