ORIF | 合法醫療器材資訊網

由DHeim著作—Occasionally,aproximalextensionintoaSpeedandBoyd'sapproachcanbemadeforadditionalaccesstotheradialheadviaasingleincision.Caremustbe ...

Because of the dislocation of the radial head aftertreatment in Monteggia fractures differs from the usual functional aftercare in other forearm shaft fractures:

Following stable ulnar fixation and satisfactory location of the radial head, postoperative treatment consists of immobilization in a long-arm cast for 3 weeks, in the position of forearm rotation that at operation was determined to give maximal stability of the radial head: this is usually supination. The operated arm is elevated, and active mobilization of fingers is started early.

Only after removal of the cast can active wrist, elbow and gentle forearm rotation exercises be started.