11/9/2023 0 Comments Etiology of monteggia fracture![]() Cite this article: Bone Joint J 2018 100-B:1117-24.Īnnular ligament reconstruction Chronic Monteggia Open reduction Ulnar osteotomy. However, no statistically significant factor could be identified which correlated with an unfavourable outcome. Today, the eponym of Monteggia fracture, Monteggia-like-lesion. Overall, Monteggia injuries are rare and account for only 15 of all fractures around the elbow 2. A majority of the patients were found to have significant improvement of elbow flexion (p 11 years and/or a delay of treatment of > 24 months. In 1814, Giovanni Battista Monteggia first described a Monteggia fracture as a fracture of the proximal ulna combined with a dislocation of the radial head 1. ![]() The Kim elbow scores evaluated at the last clinic visit were excellent in 23 patients, good in three, fair in two, and poor in two. The mean follow-up was 42.2 months (15 to 20). The effect of the patient's age, gender, duration from initial injury, Bado classification, and annular ligament reconstruction were analyzed. Clinical grading used a Kim modified elbow score: radiological outcome was recorded. The mean interval to surgery, after the initial fracture, was 23.4 months (6 to 120). There were 18 boys and 12 girls with a mean age of 7.4 years (4 to 13) at the time of open reduction. This retrospective study evaluated 30 children with a chronic Monteggia lesion. The purposes of this study were firstly, to evaluate the clinical and radiological results of open reduction of the radial head and secondly, to identify the factors that may affect the outcome of this procedure. If left untreated, the dislocated radial head later becomes symptomatic. Delayed diagnosis is a well-known complication of a Monteggia fracture-dislocation.
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