Monteggia fracture dislocation: A study on the functional outcome of surgical treatment in patients attending Osmania General Hospital, Hyderabad, Telangana, India

Author(s): Dr. Raja Rathnam Korani

Abstract: The aim of this study was to assess the effectiveness of surgical treatment by open reduction and internal fixation of Monteggia fracture dislocation and evaluate the union of fracture, complications encountered during treatment and assess the functional outcome of the results. The study comprised of 18 cases including adults and children, admitted in orthopaedic wards of Osmania General Hospital, Hyderabad, Telangana, India. The patients age range was 7 - >50 yrs. The incidence of injury was of Type I in 77.77% and Type II 22.23% cases, no cases of type III and Type IV fracture dislocation and children had only Type I fracture dislocation. The acute cases were treated surgically, using medullary nails, plate fixation and lag screw as implants. Open reduction was done in 77.73% and closed reduction in 22.22% cases. Regular follow up was done between 4 to 8 weeks duration and all fractures healed satisfactorily. The functional outcome of the results were evaluated using Anderson’s scoring system and graded as excellent / good, fair and poor depending on the range of motion in flexion-extension and pronation-supination. Our study results were excellent/good in 46.15% cases, fair and satisfactory in 7.69% and bad results in 46.15% patients. The functional outcome of surgical treatment in fresh cases of our study was good in 62.50% cases, fair in 12.5% and bad results in 25% patients. Out 3 cases of conservative treatment, 1 case showed good results and 2 cases bad results were observed in n = 2 (67%) cases. In this study, 2 old cases treated surgically showed bad results.

DOI: https://doi.org/10.22271/ortho.2018.v4.i1a.02