作者自1979至1988年间收治儿童孟氏骨折55例,46例新鲜伤采用.手法整复外固定或手术治疗,9例陈旧性骨折脱位全部手术治疗.43例经1～2.5年的随访,肘关节伸屈和前臂旋转功能达优者36例(占83.7%),达良者4例(占9%).认为儿童孟氏骨折与成人不同,作者把此类损伤分成6型,Ⅰ、Ⅱ、Ⅲ豆型可采用手法复位治疗,而Ⅳ、Ⅴ、Ⅵ型手法复位困难,大多需手术治疗. The authors treated 55 cases of Monteggia fracture in children from 1979 to 1988, 46 cases of fresh injury were treated by external fixation or surgery, and 9 cases were all surgically treated by old fractures and dislocations.43 cases were followed up for 1-2.5 years, There were 36 cases (83.7%) with excellent flexion and extension of the forearm and 4 cases (9%) of the patients with Tathagata who were divided into 6 types, Ⅰ, Ⅱ , Ⅲ beans can be treated by reduction therapy, and Ⅳ, Ⅴ, Ⅵ type reduction of the manual approach, most of the need for surgical treatment.