Study on clinical features and outcome of Monteggia fracture dislocation in adults

Abstract

Background: Monteggia fracture comprise of 5% to 10% of all fractures of forearm. The rates of complication and re-dislocation are high following the surgery of these lesions. Methods: The present observational study included 29 cases of Monteggia fracture. Clinical details, details of management and outcome were noted.Results: Majority of the subjects were in the age group of 21-30 years. Type 1 was the most common injury seen (75.9%) according to the Bado’s classification. In 6.9%, it did not unite even after six months. Excellent outcome was seen in 65.5% cases while poor result was obtained in 6.9% cases. Superficial infection was seen in three cases and non-union in two cases. Conclusion: Early treatment of Monteggia fracture-dislocation is helpful in preventing complications.