Publication: Functional Outcome of Pediatric Monteggia Fracture Dislocation Treated Surgically in a Tertiary Care Centre of Nepal
Date
2021
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Monteggia fracture dislocation may need operative management. The fracture of
ulna is reduced by closed or open reduction followed by stabilization of ulna with
Rush pin, K-wires or Dynamic compression plate.
Objective
To evaluate the Mayo Elbow Performance Score of patients with Monteggia fracture
dislocation treated operatively.
Method
It is a retrospective study conducted at Dhulikhel Hospital, Kathmandu University
Hospital. All the pediatric patients with Monteggia fracture dislocation managed
operatively from January 2011- December 2019 were included in the study. The
functional outcome scoring of the effected elbow using Mayo Elbow Performance
Score was done in the last follow up.
Result
Forty eight surgically managed Monteggia patients had a mean age of 7.23 ± 2.9
years with male predominance. Left side was the dominant side of involvement with
29 patients. Bado type 1 was the most common type (81.3%). Most of the patient
underwent closed reduction and fixation with Rush pin (n=40). All of the patient has
excellent (89.6%) to good (10.4%) functional outcome.
Conclusion
Operative management of Monteggia fracture dislocation with complete ulna
fracture has excellent to good outcome.
KEY WORDS
Functional outcome, Monteggia fracture dislocation, Operative management, Rush
pin
Description
Dhoju D, Parajuli B
Department of Orthopedics and Traumatology,
Dhulikhel Hospital, Kathmandu University Hospital,
Kathmandu University School of Medical Sciences,
Dhulikhel, Kavre, Nepal.
Keywords
Functional outcome, Monteggia fracture dislocation, Operative management, Rush pin