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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Bilateral Monteggia Fracture: A Rare Case Presentation.

Kavin Khatri1, Karan Rajpal2, Jagdeep Singh2

  • 1Department of Orthopaedics, All India Institute of Medical Sciences, Bathinda, Punjab. India.

Journal of Orthopaedic Case Reports
|January 25, 2021
PubMed
Summary

Bilateral Monteggia fractures, though rare, are effectively treated with surgical intervention and early rehabilitation. This approach ensures good elbow function recovery in adults.

Keywords:
BilateralMonteggia fractureforearm fracturesradius dislocation

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Area of Science:

  • Orthopedic surgery
  • Traumatology
  • Skeletal injuries

Background:

  • Monteggia fractures involve proximal ulna fractures with radial head dislocation.
  • Bilateral Monteggia fractures are exceptionally rare, particularly in adults.
  • This case details the management of bilateral Monteggia fractures in a young adult male.

Observation:

  • A 35-year-old male presented with bilateral Monteggia fractures, type III, post-roadside accident.
  • Radiographic evaluation confirmed the fracture pattern bilaterally.
  • Treatment involved surgical fixation with bilateral locking compression plates and closed radial head reduction.

Findings:

  • Post-operative management included 21 days of bilateral forearm splinting.
  • Elbow function was assessed using the Broberg Morrey score.
  • Excellent functional recovery was noted at 5-month follow-up, with scores of 45/47 and 100 bilaterally.

Implications:

  • Surgical management and prompt rehabilitation are crucial for optimal outcomes in bilateral Monteggia fractures.
  • The surgical technique, rehabilitation protocol, and clinical results support this treatment paradigm.
  • Bilateral presentation does not appear to negatively impact functional recovery.