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The Journal of Bone and Joint Surgery, Vol 59, Issue 1 92-97, Copyright © 1977 by Journal of Bone and Joint Surgery, Inc


JOURNAL CONTENTS

Acute Monteggia lesions in children

A Peiro, F Andres and F Fernandez-Esteve

Twenty-five consecutive acute Monteggia lesions in children were treated during a six-year period. The series included a very rare case of a Type-II Monteggia lesion not previously reported in children. All patients, except one, were treated by closed reduction. In two instances, after a successful reduction the unstable radial head was fixed with a percutaneous Kirschner wire inserted through the capitulum with the elbow flexed 90 degrees. This was done to avoid immobilizing the elbow in an acutely flexed position. On follow-up (average, thirty-four months), all the end results were excellent.
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