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متابعة

What are the treatment options for a 4 years child with montaggia fracture dislocation left elbow with PIN injury?

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تم إضافة السؤال من قبل ayman awad , orthopeadic surgeon , many hospitals
تاريخ النشر: 2014/10/22
AHMAD SUKHAIRI ABU HASSAN
من قبل AHMAD SUKHAIRI ABU HASSAN , Paramedic , FPSO Ventures

Nonoperative closed reduction indications more common and successful in children must ensure stabilty and anatomic alignment of ulna fracture technique cast in supination for Bado I and III Operative ORIF of ulna shaft fracture indications acute fractures which are open or unstable (long oblique) comminuted fractures most Monteggia fractures in adults are treated surgically ORIF of ulna shaft fracture, open reduction of radial head indications failure to reduce radial head with ORIF of ulnar shaft only ensure ulnar reduction is correct complex injury pattern IM Nailing of ulna indications transverse or short oblique fracture

Pradeep ingale
من قبل Pradeep ingale , Head department of orthopaedics , Pawana Hospital

CLosed reduction and closed/mini open reduction and internal fixation for ulna. Confirm congruent reduction. Immobilisation, closed observation for the maintainance of  reduction and followup for monitoring the nerve recovery. Failur of PIN to recover should be further investigated with NCS and necessory treatment is to be advised.

bishnu das
من قبل bishnu das , consultant, Foot and Ankle Surgery , New Lab Aid Hospital

close or open reduction of Radial Head and per cutenous K- wire fixation then application of long arm back slab for 4-6 weeks. Then the plaster and K-wire remove.

Ronnie Jr Villegas
من قبل Ronnie Jr Villegas , Military Nurse/ Training NCO , Camp Lukban Station Hospital, 8ID, PA

The radial head dislocation should be reduced on an emergency basis. Closed reduction under sedation should be performed within 6-8 hours of the injury. This is usually achieved with supination of the forearm, but it may require traction and direct pressure on the radial head. If closed reduction is unsuccessful, the patient should be taken to the operating room (OR) within this same time frame for open reduction. Delay in reduction of the radius may lead to permanent articular damage, further nerve injury, or both.

Shoaib Khan
من قبل Shoaib Khan , Paramedic , King Hamad University Hospital

closed reduction of ulna and radial head dislocation and long arm casting

Indications

§    Bado Types I-III with

§radial head is stable following reduction

§length stable ulnar fracture pattern

Reduction technique

§    reduction technique uses traction

§    radial head will reduce spontaneously with reduction of the ulna and restoration of ulnar length

Immobilization

 

§     immobilize in 110° of flexion and full supination for Types I and III to tighten interosseous membrane and relax biceps tendon 

peter stutz
من قبل peter stutz , Vice-chairman , orthopaedic and traumatology surgery, Hospital of

stable fixation of the ulna in slight extension by external fixatôr

Abdallah kaabneh
من قبل Abdallah kaabneh

Closed reduction of the fractured ulna and upon reducing the fracture the dislocated proximal part of radius will be reduced. Then casting a follow up for PIN  which mostly is neuropraxia due to compression by dislocated radius 

Chethan  Gopalakrishna
من قبل Chethan Gopalakrishna , Specialist Orthopedic Surgeon , Prime healthcare group

open ion internal fixation with nerve exploration 

Ahmed Elazzouny
من قبل Ahmed Elazzouny , orthopedic and trauma resident , MOH hospitals

close reduction and internal fixation with close followup for Neurological conditon

Aziz Abu azizeh
من قبل Aziz Abu azizeh , Orthopedic Surgeon , Private Health Sector

closed reduction and if the ulna is still not reduction ,we have to ORIF and for pin injury we need observation and with splinting and NSAIDS .

sardar khan
من قبل sardar khan , COURSES ATTENDED

close reduction /open reduction ulna   close reduction radial head, long arm cast and observation for pi  nerve recovery

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