Monteggia fractures and Monteggia-like-lesions: a systematic review.
Coronoid fracture
Elbow dislocation
Elbow trauma
Monteggia injury
Olecranon fracture
Radial head fracture
Suture
Ulna non-union
Journal
Archives of orthopaedic and trauma surgery
ISSN: 1434-3916
Titre abrégé: Arch Orthop Trauma Surg
Pays: Germany
ID NLM: 9011043
Informations de publication
Date de publication:
Jul 2023
Jul 2023
Historique:
received:
26
05
2022
accepted:
03
08
2022
medline:
28
6
2023
pubmed:
4
9
2022
entrez:
3
9
2022
Statut:
ppublish
Résumé
Monteggia injuries are rare, but severe injuries of the elbow including various injury patterns. Treatment of these injuries is still topic of debate and strategies differ widely. In this systematic review on Monteggia injuries in adults, we aimed to clarify the incidence of different injury patterns within Monteggia injuries, investigate the main reasons leading to revision surgery and explore which surgical treatments should be favored to achieve satisfactory clinical results.We initially identified 182 publications and ultimately included 17 retrospective studies comprising 651 cases. All patients were classified using the Bado classification, leading to 30.5% Bado type I fractures, 60.4% type II fractures, 5.1% type III and 3.1% type IV fractures. Mean revision rate was 23%. Ulna non-union (28%) and limited range-of-motion (22%) are the main reasons for revision surgery. Meta-analysis shows a trend toward the use of locking plates for ulna fixation which may lead to less revision surgery and fewer ulna non-unions. Further biomechanical and clinical research is necessary to clarify the role of radial head surgery.
Identifiants
pubmed: 36056930
doi: 10.1007/s00402-022-04576-1
pii: 10.1007/s00402-022-04576-1
pmc: PMC10293342
doi:
Types de publication
Journal Article
Meta-Analysis
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
4085-4093Informations de copyright
© 2022. The Author(s).
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