Result Forty eight surgically managed Monteggia patients had a mean age of 7.23 ± 2.9 years with male predominance. The functional outcome scoring of the effected elbow using Mayo Elbow Performance Score was done in the last follow up. All the pediatric patients with Monteggia fracture dislocation managed operatively from January 2011- December 2019 were included in the study. Method It is a retrospective study conducted at Dhulikhel Hospital, Kathmandu University Hospital.
Objective To evaluate the Mayo Elbow Performance Score of patients with Monteggia fracture dislocation treated operatively. The fracture of ulna is reduced by closed or open reduction followed by stabilization of ulna with Rush pin, K-wires or Dynamic compression plate. 1982 64-A:857-63.Background Monteggia fracture dislocation may need operative management. Unstable fracture dislocations of the forearm (Monteggia and Galeazzi Lesions). Complications of plate fixation of forearm fractures. Compression plate fixation in acute diaphyseal fractures of the radius and ulna. Monteggia fractures in children and adults. Fractures of the shaft of radius and ulna. Louis: Mosby 1998 3:2332-6.Ĭhapman, Michael W, Bruce A, Mallin, David TS. Fractures of shoulder girdle, arm and forearm. Anterior interosseous nerve palsy associated with a monteggia fracture. A neurological complication following monteggia fracture. Tardy palsy of the radial nerve from a monteggia fracture.
Monteggia lesions and their complicating nerve damage. Nerve Injuries complicating monteggia Lesions. Philadelphia: Lippincott Raven 1996:869-925.įrank SL, Grabias, Deffar PA. Fractures of the shaft of the radius and ulna. Unstable fracture dislocations of the forearm (Monteggia and Galeazzi lesions). Jupiter JB, Leibovicl SJ, Ribbans W, Wilk, RM. Upper limb should be immobilized in 110-120 degrees of elbow flexion and forearm in supination to prevent radial head redislocation.īado JL. The complication encountered were superficial infection and non-union.Ĭonclusions: The technique of early closed reduction of radial head and open reduction and internal fixation of ulna using compression plate is a simple and effective means of treating monteggia fracture dislocation in adults with excellent functional outcome. Using Anderson scoring system, we achieved 65% excellent results, 30% satisfactory result and 5% failure in study case. Mean time taken for union was 4.1 months. Results: Most of the cases were type-1 fracture-dislocation according to Bado's classification.
#MONTEGGIA FRACTURE SERIAL#
The results were evaluated by assessing union on serial x-rays at follow-up (6-18 months) and functional outcome using Anderson’s criteria. Methods: In a prospective study from September 2013 to August 2016, twenty adult patients of monteggia fracture were admitted and treated by closed reduction/excision of radial head and compression plate fixation of ulna. The objectives of the study were to assess the mean time taken for union of fracture, complication encountered during treatment, to assess the functional outcome and to present conclusions based on the results of plate osteosynthesis of monteggia fracture dislocation in adults. Good results in monteggia fractures depend on early and accurate diagnosis, rigid fixation of ulna, accurate reduction of radial head and post-operative immobilization to allow ligamentous healing about the dislocated radial head. Background : Monteggia fracture dislocations are rare injuries that comprise less than five percent of all forearm fractures.
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