Unusual Patterns of Monteggia Fracture-Dislocation
Author Information
Author(s): Kazakos Constantinos J, Galanis Vasilios G, Verettas Dennis-Alexander J, Dimitrakopoulou Alexandra, Polychronidis Alexandros, Simopoulos Constantinos
Primary Institution: Department of Orthopaedics, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece
Hypothesis
How can complex Monteggia fracture-dislocations be effectively managed?
Conclusion
Open complex injuries of the elbow should be treated as emergencies, prioritizing internal fixation for better functional outcomes.
Supporting Evidence
- 57% of patients had multiple injuries.
- Functional results were excellent or good in 11 out of 14 patients.
- Three patients developed non-union of fractures requiring further surgery.
Takeaway
When people hurt their elbows badly in accidents, doctors need to fix them quickly to help them heal better.
Methodology
Fourteen patients with Monteggia fracture-dislocations were treated surgically, with various fixation methods used based on injury severity.
Limitations
The study is limited by its small sample size and the complexity of injuries, which may affect generalizability.
Participant Demographics
11 men and 3 women, ages 19 to 64, with various causes of injury including road traffic accidents and falls.
Digital Object Identifier (DOI)
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