Open monteggia fracture10/29/2023 Average pain according to visual analogue scale was 1.6 (± 1.9). Average extension capability reached − 7° (± 7.5). Cases were divided into subgroups depending upon the distance of the ulnar fracture site in respect to its distal endpoint (A: 7 cm). Bado II-fractures were further classified according to Jupiter (A:7, B:16, C:3, D:1). Fractures were classified according to Bado (I:2, II:27, III:4, IV:2). Follow-up took place after 50.5 months (± 22.1). Furthermore, treatment strategy and complications were analysed. In a follow-up examination validated patient-reported outcome measures and functional parameters were evaluated. Fractures were classified according to Bado and Jupiter, the site of the fracture location at the proximal ulna and regarding the potential accompanying ligamentary injury. In a retrospective, monocentric study 35 patients who underwent surgical treatment after suffering a Monteggia injury or Monteggia-like lesion were included. ![]() ![]() Key objective was to evaluate whether the site of the ulnar fracture can be correlated to clinical outcome after open reduction and internal stabilization. Preliminary biomechanical studies suggested a correlation between ulnar fracture localization and clinical result. Monteggia fractures and Monteggia-like lesions result after severe trauma and have high complication rates.
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