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Ulnar Intramedullary Fixation in the Treatment of Acute Pediatric Monteggia Fractures: To Bury or Not

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Purpose: Pediatric Monteggia fractures often require surgical intervention to stabilize the ulna and maintain reduction of the radiocapitellar joint. There is a paucity of research comparing ulnar percutaneous intramedullary fixation… Click to show full abstract

Purpose: Pediatric Monteggia fractures often require surgical intervention to stabilize the ulna and maintain reduction of the radiocapitellar joint. There is a paucity of research comparing ulnar percutaneous intramedullary fixation to buried intramedullary fixation in acute pediatric Monteggia fractures. This study analyzes the difference between the two types of ulnar intramedullary fixation. We hypothesized that percutaneous fixation yields equivalent results to buried intramedullary fixation while eliminating a second surgery for hardware removal. Methods: A retrospective review identified patients who suffered …

Keywords: pediatric monteggia; fixation; intramedullary fixation; monteggia fractures; acute pediatric

Journal Title: Pediatrics
Year Published: 2020

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