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Updated: Jul 28, 2026
07:35
Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
Published on: April 11, 2012
Monteggia fractures in adults
D Ring1, J B Jupiter, N S Simpson
1Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston 02114, USA.
The Journal of Bone and Joint Surgery. American Volume
|January 6, 1999
Summary
This study on Monteggia fractures in adults found that stable fixation of the ulna and associated fractures leads to better outcomes. Current techniques improve results for these complex elbow injuries.
Area of Science:
- Orthopedic Surgery
- Trauma Care
Background:
- Monteggia fractures are complex elbow injuries requiring careful management.
- Adult Monteggia fractures, particularly Bado type-II, often involve radial head and coronoid process fractures.
Purpose of the Study:
- To evaluate the outcomes of Monteggia fractures in adult patients.
- To identify factors influencing treatment success and complications.
Main Methods:
- Retrospective review of 48 adult patients with Monteggia fractures over ten years.
- Analysis of fracture types (Bado classification), associated injuries, surgical interventions, complications, and functional outcomes (Broberg and Morrey score).
Main Results:
- Bado type-II fractures were most common (38/48), frequently associated with radial head fractures (26/48).
- Plate and screw fixation for the ulna yielded satisfactory results in most cases.
- Complications included reoperations, proximal radioulnar synostosis, and malunions, particularly in Bado type-II fractures with radial head involvement.
Conclusions:
- Stable anatomical fixation of the ulna and coronoid process fractures with current techniques improves outcomes for adult Monteggia fractures.
- Management of associated radial head and coronoid process fractures remains challenging, especially in Bado type-II injuries.
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