{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T01:35:03Z","timestamp":1794360903216,"version":"4.9.0"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,9,12]],"date-time":"2022-09-12T00:00:00Z","timestamp":1662940800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,9,12]],"date-time":"2022-09-12T00:00:00Z","timestamp":1662940800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Scientific research project of Hunan Education Department","award":["21A0054"],"award-info":[{"award-number":["21A0054"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Musculoskelet Disord"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Acute Monteggia fracture (AMF) is defined as a fracture of the proximal ulna combined with a dislocation of the radial head, with less than 1 percent prevalence in pediatric patients with an elbow injury. This retrospective study aimed to compare the efficacy of two treatment methods for oblique ulnar fracture AMF Bado type I in children.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>In this retrospective study, 28 children with oblique ulnar fracture acute Monteggia injury Bado I were included. Patients was divided into two groups: In the EIN group 16 patients were fixed with elastic intramedullary nail after reduction, and in the LCP group 12 patients were fixed with locking compression plate after reduction. Operation time and blood loss were recorded and the patients were assessed clinically by the Mayo Elbow Performance Score (MEPS), range of movement(ROM) and range of rotation(ROR).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Twenty-eight patients were accessible for durable follow-up, with a mean age of 7.7\u2009\u00b1\u20091.3\u00a0years, follow up by 33.7\u2009\u00b1\u20095.1\u00a0months. The average operation time was 48.1\u2009\u00b1\u20099.2\u00a0min for the EIN group and 67.1\u2009\u00b1\u20097.2\u00a0min for the LCP group.\u00a0The average blood loss was 8.2\u2009\u00b1\u20092.3\u00a0ml for the EIN group and 18.8\u2009\u00b1\u20093.8\u00a0ml for the LCP group. The average operation time and average blood loss in the EIN group are significant less than the LCP group. Mean MEPS, ROM, ROR in both group improved significantly before sugery to three months after surgery, and maintained very good results at last follow up. There is no significant difference between the EIN group and the LCP group in MEPS, ROM and ROR.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Oblique ulnar fracture Bado type I acute monteggia fracture in pediatric patients fixed by EIN and LCP can both get good mid-term results measured by MEPS, ROM and ROR, Fixed by EIN have shorter operation time and less blood loss than fixed by LCP.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12891-022-05809-5","type":"journal-article","created":{"date-parts":[[2022,9,12]],"date-time":"2022-09-12T10:03:02Z","timestamp":1662976982000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Comparison of the midterm result\u00a0between locking plate and elastic intramedullary nail treating oblique ulnar fracture Bado type I acute monteggia fracture in pediatric patients"],"prefix":"10.1186","volume":"23","author":[{"given":"Djandan Tadum Arthur","family":"Vithran","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenqi","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kongjian","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhongwen","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Xiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Wen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheng","family":"Xiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,9,12]]},"reference":[{"key":"5809_CR1","first-page":"131","volume":"5","author":"GB Monteggia","year":"1814","unstructured":"Monteggia GB. Lussazioni delle ossa delle estremita superiori. Instituzioni Chirurgiches. 1814;5:131\u20133.","journal-title":"Instituzioni Chirurgiches"},{"key":"5809_CR2","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1097\/00003086-196701000-00008","volume":"50","author":"JL Bado","year":"1967","unstructured":"Bado JL. The Monteggia lesion. Clin Orthop Relat Res. 1967;50:71\u201386.","journal-title":"Clin Orthop Relat Res"},{"key":"5809_CR3","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1097\/01241398-198903000-00021","volume":"9","author":"BW Olney","year":"1989","unstructured":"Olney BW, Menelaus MB. Monteggia and equivalent lesions in childhood. J Pediatr Orthop. 1989;9:219\u201323.","journal-title":"J Pediatr Orthop"},{"key":"5809_CR4","first-page":"548","volume":"22","author":"KE Wilkins","year":"2002","unstructured":"Wilkins KE. Changes in the management of monteggia fractures. J Pediatr Orthop. 2002;22:548\u201354.","journal-title":"J Pediatr Orthop"},{"key":"5809_CR5","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1016\/j.ocl.2012.08.007","volume":"44","author":"D Ring","year":"2013","unstructured":"Ring D. Monteggia fractures. Orthop Clin North Am. 2013;44:59\u201366.","journal-title":"Orthop Clin North Am"},{"key":"5809_CR6","first-page":"546","volume":"74","author":"GM Kontakis","year":"2008","unstructured":"Kontakis GM, Pasku D, Pagkalos J, Katonis PG. The natural History of a mistreated ipsilateral Galeazzi and Monteggia lesion: report of a case 39 years post-injury. Acta Orthop Belg. 2008;74:546\u20139.","journal-title":"Acta Orthop Belg"},{"issue":"4","key":"5809_CR7","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1007\/s11832-007-0039-z","volume":"1","author":"A L\u00e4dermann","year":"2007","unstructured":"L\u00e4dermann A, Ceroni D, Lef\u00e8vre Y, De Rosa V, De Coulon G, Kaelin A. 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Informed consent from Parents\/guardians of children(participants) for participation.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Parents\/guardians gave their written informed consent for their child\u2019s personal or clinical details along with all identifying images to be published in this study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing fnancial interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"858"}}