CAJ | 학술논문

目的：探讨应用尺骨截骨后成角延长钢板内固定术治疗儿童陈旧性孟氏骨折的疗效。方法对12例陈旧性孟氏骨折患儿(病程45 d ~18个月)行手术截骨矫正内固定治疗。结果患儿均获随访，时间10 ~18个月。根据 Mackay 疗效评定标准：优11例，良 1例。结论尺骨截骨成角延长治疗儿童陈旧性孟氏骨折，通过手术矫正尺骨畸形无需重建环状韧带，能够恢复正常的肱桡关节关系，改善关节功能。
목적：탐토응용척골절골후성각연장강판내고정술치료인동진구성맹씨골절적료효。방법대12례진구성맹씨골절환인(병정45 d ~18개월)행수술절골교정내고정치료。결과환인균획수방，시간10 ~18개월。근거 Mackay 료효평정표준：우11례，량 1례。결론척골절골성각연장치료인동진구성맹씨골절，통과수술교정척골기형무수중건배상인대，능구회복정상적굉뇨관절관계，개선관절공능。
Objective To explore the effect of ulna angular lengthening osteotomy with plate fixation for old Monteggia fracture in children. Methods 12 cases of old Monteggia fracture were recruited, the course of time from injury was 45 days ~ 18 months. All cases were undergone ulna angular lengthening osteotomy with plate fixation. Results All cases were followed up for 10 ~ 18 months. According to the Mackay standard, the results were excellent in 11 cases, good in 1. Conclusions Ulna angular lengthening osteotomy in the treatment of old Monteggia fracture is effective for ulna deformity correction without reconstruction of annular ligament, humeroradial joint relations can be restored to normal, which improve joint function.