long-term clinical and radiographic outcomes after open reduction for missed monteggia fracture-...

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Long-Term Clinical and Radiographic Outcomes After Open Reduction for Missed Monteggia Fracture-Dislocations in Children by Koichi Nakamura, Kazuhiko Hirachi, Shigeharu Uchiyama, Masatoshi Takahara, Akio Minami, Toshihiko Imaeda, and Hiroyuki Kato J Bone Joint Surg Am Volume 91(6):1394-1404 June 1, 2009 ©2009 by The Journal of Bone and Joint Surgery, Inc.

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Long-Term Clinical and Radiographic Outcomes After Open Reduction for Missed Monteggia Fracture-

Dislocations in Children

by Koichi Nakamura, Kazuhiko Hirachi, Shigeharu Uchiyama, Masatoshi Takahara, Akio Minami, Toshihiko Imaeda, and Hiroyuki Kato

J Bone Joint Surg AmVolume 91(6):1394-1404

June 1, 2009

©2009 by The Journal of Bone and Joint Surgery, Inc.

Koichi Nakamura et al. J Bone Joint Surg Am 2009;91:1394-1404

©2009 by The Journal of Bone and Joint Surgery, Inc.

Koichi Nakamura et al. J Bone Joint Surg Am 2009;91:1394-1404

©2009 by The Journal of Bone and Joint Surgery, Inc.

Koichi Nakamura et al. J Bone Joint Surg Am 2009;91:1394-1404

©2009 by The Journal of Bone and Joint Surgery, Inc.

Figs. 2-A, 2-B, and 2-C Anular ligament reconstruction with use of a remnant of the ligament.

Koichi Nakamura et al. J Bone Joint Surg Am 2009;91:1394-1404

©2009 by The Journal of Bone and Joint Surgery, Inc.

After the osteotomy of the ulna, the radial defect of the anular ligament was augmented with the palmaris longus tendon (white arrowhead).

Koichi Nakamura et al. J Bone Joint Surg Am 2009;91:1394-1404

©2009 by The Journal of Bone and Joint Surgery, Inc.

Illustration depicting the method of anatomical anular ligament reconstruction with use of the remnant of the anular ligament and the free palmaris longus tendon graft.

Koichi Nakamura et al. J Bone Joint Surg Am 2009;91:1394-1404

©2009 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior and lateral radiographs, made nine years and two months after surgery, showing mild osteoarthritic changes at the radiohumeral joint.

Koichi Nakamura et al. J Bone Joint Surg Am 2009;91:1394-1404

©2009 by The Journal of Bone and Joint Surgery, Inc.

Scatterplot showing the relationships between the radiographic results at the time of follow-up, the interval between the injury and the operation, and the age at the time of the operation.

Koichi Nakamura et al. J Bone Joint Surg Am 2009;91:1394-1404

©2009 by The Journal of Bone and Joint Surgery, Inc.

Koichi Nakamura et al. J Bone Joint Surg Am 2009;91:1394-1404

©2009 by The Journal of Bone and Joint Surgery, Inc.

Koichi Nakamura et al. J Bone Joint Surg Am 2009;91:1394-1404

©2009 by The Journal of Bone and Joint Surgery, Inc.

Koichi Nakamura et al. J Bone Joint Surg Am 2009;91:1394-1404

©2009 by The Journal of Bone and Joint Surgery, Inc.

Koichi Nakamura et al. J Bone Joint Surg Am 2009;91:1394-1404

©2009 by The Journal of Bone and Joint Surgery, Inc.

Koichi Nakamura et al. J Bone Joint Surg Am 2009;91:1394-1404

©2009 by The Journal of Bone and Joint Surgery, Inc.

Koichi Nakamura et al. J Bone Joint Surg Am 2009;91:1394-1404

©2009 by The Journal of Bone and Joint Surgery, Inc.