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Monteggia fractures in adults
1Dept. of Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Taipei, Taiwan, R. O. C.
Changgeng Yi Xue Za Zhi
|June 1, 1993
Summary
This study on Monteggia fractures found that open reduction with internal fixation for ulnar fractures and stable radial head reduction yields a 90% union rate and 78% satisfactory functional outcomes.
Area of Science:
- Orthopedic Surgery
- Traumatology
Background:
- Monteggia fractures are complex injuries involving the ulna and radial head.
- Optimal treatment strategies for adult Monteggia fractures remain a subject of clinical interest.
Purpose of the Study:
- To evaluate the outcomes of surgical management for adult acute Monteggia fractures.
- To determine the effectiveness of open reduction and internal fixation for ulnar fractures and stable radial head reduction.
Main Methods:
- Retrospective analysis of 60 adult acute Monteggia fractures treated between 1978 and 1989.
- Ulnar fractures treated with open reduction and internal fixation (ORIF) or closed reduction.
- Radial head fractures managed with closed reduction, ORIF with ligament repair, or resection.
Main Results:
- Achieved a 90% union rate for ulnar fractures with an average union period of 3.5 months.
- Reported a 78% satisfactory functional outcome rate.
- Unsatisfactory results were linked to severe soft tissue injury, neurological deficits, and radial head instability.
Conclusions:
- Open reduction with rigid internal fixation of the ulnar fracture is recommended.
- Stable reduction of the radial head is crucial for successful Monteggia fracture treatment.
- This approach is considered the treatment of choice for adult Monteggia fractures.