CLINICAL STUDY OF SURGICAL MANAGEMENT OF MONTEGGIA FRACTURE DISLOCATION IN ADULTS

Dr P.Archana Babu; Dr K.Laalasa; Dr K.Suman kumar; Dr. C.Venkappa; Dr. Chandan S

Volume : X, Issue : VI, June - 2020

CLINICAL STUDY OF SURGICAL MANAGEMENT OF MONTEGGIA FRACTURE DISLOCATION IN ADULTS

Dr P. Archana Babu, Dr K. Laalasa, Dr K. Suman Kumar, Dr. C. Venkappa, Dr. Chandan S

Abstract :

Monteggia fracture dislocation is among the most widely recognized by orthopaedic surgeons largely because of notoriously poor results associated with treatment of these injuries in adults. The accepted management for Monteggia fracture dislocation is open reduction and internal fixation using various types of compression plating for ulna and closed reduction of radial head. The present study is regarding surgical management of Monteggia fracture dislocation in adults and to study the advantages and complications of surgical management. It is a prospective study which was carried out from September 2018 to Feuary 2020 at Government General Hospital, Kurnool . In this study period 20 cases of Monteggia fracture dislocation in adults were treated by open reduction and internal fixation using AO 3.5mm dynamic Compression Plate of ulna with closed reduction of radial head. In our series, majority of the patients were males, middle aged, with road traffic accidents being the commonest mode of injury. Most of the cases were type–1 fracture–dislocation according to Bado’s classification. Upper limb was immobilized in 110–120 degrees of flexion of the elbow with forearm in supination to prevent radial head redislocation. Excellent or full range of mobility of elbow and wrist joints was present in 13 patients (65%), 6(30%) satisfactory results, 1 (5%) unsatisfactory results, with no cases of failure.