{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T08:57:12Z","timestamp":1790499432311,"version":"4.1.0"},"reference-count":31,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004731","name":"Natural Science Foundation of Zhejiang Province","doi-asserted-by":"publisher","award":["LKLY26H060002"],"award-info":[{"award-number":["LKLY26H060002"]}],"id":[{"id":"10.13039\/501100004731","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Hangzhou Public Welfare Scientific Research Guidance Project in the Field of Agriculture and Social Development","award":["20241029Y206"],"award-info":[{"award-number":["20241029Y206"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Children's Orthopaedics"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>At present, there is no standardized surgical protocol for chronic Monteggia fractures, particularly in patients who are older than 10, have missed radial head dislocation for over 1 year, or have developed radial head deformities. Current surgical approaches remain suboptimal and are often associated with poor clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study retrospectively analyzed 14 patients with chronic Monteggia fractures who had been managed with ulnar osteotomy, external fixation and gradual closed reduction of radial head at our institution between January 2022 and November 2025. By analyzing clinical and radiographic outcome, we systematically assessed the therapeutic effectiveness and short-term outcomes of this treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During the latest follow-up period (range: 6\u201342 months; median: 21.6 months), none of the 14 patients developed recurrent radial head dislocation. Five patients developed pin tract infections and two patients had mild limitation of elbow flexion and supination, but neither affected daily activities. Of note, radiographic outcome of one patient at the 3-year follow-up revealed degenerative changes in the radial head, but this patient maintained full range of motion of the elbow without experiencing pain or mobility restrictions. The remaining patients showed no significant abnormalities in both clinical and radiographic outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We recommend ulnar osteotomy, external fixation and gradual closed reduction of radial head for patients with chronic Monteggia fractures who are older than 10, have missed radial head dislocation for over 1 year, or have developed radial head deformities. This treatment ensures anatomical reduction while significantly improving surgical success rates and short-term outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/18632521261492479","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T09:34:58Z","timestamp":1790242498000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Management of chronic monteggia fractures with ulnar osteotomy, external fixation and gradual closed reduction of radial head"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7032-0462","authenticated-orcid":false,"given":"Siyuan","family":"Liu","sequence":"first","affiliation":[{"name":"The Second Affiliated Hospital, Zhejiang University School of Medicine"},{"name":"Children\u2019s Hospital, Zhejiang University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian","family":"Zhu","sequence":"additional","affiliation":[{"name":"The Second Affiliated Hospital, Zhejiang University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zengfeng","family":"Xin","sequence":"additional","affiliation":[{"name":"The Second Affiliated Hospital, Zhejiang University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.17.00116"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198365090-00008"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-196701000-00008"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)31543-1"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199609000-00005"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.59B4.925049"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(84)80112-4"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.3109\/17453679809002361"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.69B4.3611173"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.3109\/17453679209154798"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000147"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000199"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000426"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2020.07.001"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200207000-00014"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00644"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-011-0372-0"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199274040-00003"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-008-9409-3"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2021.102499"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2023.10.014"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.1142\/S0218810499000034"},{"key":"e_1_3_6_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000001047"},{"issue":"3","key":"e_1_3_6_25_2","first-page":"164","article-title":"Indirect Hexapod Frame-assisted Reduction of Chronic Radial Head Dislocations in Children: 20-year Experience and Technical Tips","volume":"19","author":"Dorman S","year":"2024","unstructured":"Dorman S, Green N, Fernandes JA. Indirect Hexapod Frame-assisted Reduction of Chronic Radial Head Dislocations in Children: 20-year Experience and Technical Tips. Strategies Trauma Limb Reconstr 2024; 19(3): 164\u2013168. https:\/\/doi.org\/10.5005\/jp-journals-10080-1631","journal-title":"Strategies Trauma Limb Reconstr"},{"key":"e_1_3_6_26_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B1.14669"},{"key":"e_1_3_6_27_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3182812762"},{"key":"e_1_3_6_28_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.83B4.0830547"},{"key":"e_1_3_6_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/1758573219839225"},{"key":"e_1_3_6_30_2","doi-asserted-by":"publisher","DOI":"10.1242\/jeb.201.1.135"},{"key":"e_1_3_6_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.actbio.2022.03.005"},{"key":"e_1_3_6_32_2","first-page":"36","article-title":"Postepennoe ustranenie vrozhdennogo vyvikha bedra s pomoshch'iu funtsional'no\u012d gipsovo\u012d poviazki v ambulatornykh usloviiakh [Gradual reduction of congenital hip dislocation with the aid of an ambulatory, functional plaster cast]","volume":"2","author":"Ter-Egiazarov GM","year":"1978","unstructured":"Ter-Egiazarov GM, Iukina GP, Matveeva LA, et al. Postepennoe ustranenie vrozhdennogo vyvikha bedra s pomoshch'iu funtsional'no\u012d gipsovo\u012d poviazki v ambulatornykh usloviiakh [Gradual reduction of congenital hip dislocation with the aid of an ambulatory, functional plaster cast]. Ortop Travmatol Protez 1978; 2: 36\u201340.","journal-title":"Ortop Travmatol Protez"}],"container-title":["Journal of Children's Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/18632521261492479","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/18632521261492479","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/18632521261492479","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T08:18:33Z","timestamp":1790497113000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/18632521261492479"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,24]]},"references-count":31,"alternative-id":["10.1177\/18632521261492479"],"URL":"https:\/\/doi.org\/10.1177\/18632521261492479","relation":{},"ISSN":["1863-2521","1863-2548"],"issn-type":[{"value":"1863-2521","type":"print"},{"value":"1863-2548","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,24]]},"article-number":"18632521261492479"}}