Loss of alignment after surgical treatment of posterior Monteggia fractures: salvage with dorsal contoured plating

The Journal of Hand Surgery
David RingJesse B Jupiter

Abstract

To review the results of internal fixation with a dorsal contoured plate in patients with malalignment after internal fixation of a posterior Monteggia fracture. Seventeen patients with malalignment after surgical treatment of a posterior Monteggia fracture were treated with realignment of the ulna and fixation with a contoured dorsal plate. Fifteen patients had loose fixation and 12 patients had subluxation or dislocation of the ulnohumeral joint. Sixteen patients had fracture of the radial head and 9 patients had fracture of the coronoid process. Nine patients had ancillary procedures on the radial head, 4 had ancillary procedures on the coronoid, 5 had hinged external fixation, and one had fascial arthroplasty. Seven patients had another surgery before the final evaluation related to a complication in 6 patients and a to subsequent injury in 1 patient. At the final evaluation at an average of 59 months the fracture was healed and the ulnohumeral joint was reduced concentrically in all 17 patients. The average arc of elbow flexion was 108 degrees and the average arc of forearm rotation was 134 degrees. The average American Shoulder and Elbow Surgeons Elbow Evaluation Score was 88. According to the system of Broberg and Morrey...Continue Reading

References

Jan 1, 1991·Journal of Orthopaedic Trauma·J B JupiterR M Wilk
Jan 7, 1998·Journal of Orthopaedic Trauma·D RingN S Simpson
Mar 1, 1965·The Journal of Trauma·A PAVELP A WADE

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Citations

May 28, 2009·International Orthopaedics·Ayman KhalilOsama Seleem
Oct 27, 2015·Hand Clinics·Justin C WongJoseph A Abboud
Sep 3, 2011·Journal of Shoulder and Elbow Surgery·Giuseppe GiannicolaFranco Postacchini
Nov 25, 2011·Strategies in Trauma and Limb Reconstruction·Peter KloenDavid Ring
Nov 10, 2009·The Journal of Hand Surgery·Thierry G GuittonPeter Kloen
Oct 1, 2009·Journal of Shoulder and Elbow Surgery·Dominique M RouleauGeorge S Athwal
Feb 27, 2008·Hand Clinics·Robert P Lyons, April Armstrong
Jun 6, 2007·Hand Clinics·Srikanth EathirajuJesse B Jupiter
May 29, 2007·Journal of Shoulder and Elbow Surgery·Gunther WindischWolfgang Pichler
Aug 31, 2010·Orthopaedics & Traumatology, Surgery & Research : OTSR·S RochetP Garbuio
Jun 6, 2007·Techniques in Hand & Upper Extremity Surgery·Gregory L DeSilvaStephen P DeSilva
Jun 21, 2013·Journal of Orthopaedic Trauma·Brian J SnowThay Q Lee
Jan 1, 2014·Journal of Orthopaedic Trauma·Emilie SandmanDominique M Rouleau
Aug 1, 2020·The Bone & Joint Journal·Zaid HamoodiAdam C Watts
Jul 11, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Jaehon M Kim, Daniel A London
Mar 21, 2019·Journal of Orthopaedic Trauma·Geoff C JarvieParham Daneshvar
Sep 12, 2021·The Journal of Hand Surgery·Ryan C XiaoJaehon M Kim

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