Application of bridge combined fixation system in pediatric Bado type Ⅰ chronic Monteggia fractures.
10.7507/1002-1892.202509070
- Author:
De PAN
1
;
Xiaoqing HE
1
;
Ying XIONG
2
;
Bolin YUE
1
;
Xi YANG
1
;
Yongqing XU
1
;
Yongyue SU
1
Author Information
1. Department of Orthopedic Surgery, 920th Hospital of Joint Logistic Support Force of Chinese PLA, Kunming Yunnan, 650032, P. R. China.
2. Department of Orthopedic Surgery, Yan'an Hospital, Kunming Yunnan, 650051, P. R. China.
- Publication Type:Journal Article
- Keywords:
Bridge combined fixation system;
child;
chronic Monteggia fracture;
fracture fixation
- MeSH:
Humans;
Child;
Monteggia's Fracture/surgery*;
Male;
Female;
Child, Preschool;
Range of Motion, Articular;
Retrospective Studies;
Fracture Fixation, Internal/instrumentation*;
Elbow Joint/physiopathology*;
Bone Plates;
Treatment Outcome;
Fracture Healing;
Bone Screws;
Elbow Injuries
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2025;39(12):1516-1520
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate effectiveness of the bridge combined fixation system (BCFS) for Bado typeⅠchronic Monteggia fractures (CMF) in children.
METHODS:A clinical data of 8 children with Bado type ⅠCMF, who were treated with the BCFS between November 2023 and February 2025, was retrospectively analyzed. There were 6 boys and 2 girls, with a mean age of 7.0 years (range, 4-12 years). The time from injury to operation ranged from 29 to 370 days (median, 68.5 days). Preoperative elbow range of motion was (111.3±17.9)° in flexion, (13.1±13.9)° in extension, (71.9±14.6)° in pronation, and (75.6±13.5)° in supination. Fracture healing time and postoperative complications were observed, and clinical outcomes were evaluated using the Mayo elbow performance score.
RESULTS:All incisions healed by primary intention without infection, non-healing of the incision, or iatrogenic nerve injury. All children were followed up 4-18 months (mean, 10.3 months). At last follow-up, the elbow range of motion significantly improved to (142.5±2.7)° in flexion, (2.5±2.7)° in extension, (87.5±2.7)° in pronation, and (88.8±2.3)° in supination ( P<0.05). According to the postoperative Mayo elbow performance score, all cases were rated as excellent. Radiographic review showed no radial head dislocation, nonunion at the ulnar osteotomy site, or elbow stiffness, and no breakage of the BCFS or screw loosening. The fracture healing time ranged from 3 to 6 months, with a median of 4 months.
CONCLUSION:The BCFS was confirmed to be effective in the treatment of pediatric Bado type Ⅰ CMF, with good restoration of elbow function and the advantage of avoiding secondary implant removal surgery.
