11/12/2023 0 Comments Non treated monteggia fractureThere were no cases of infection in either group. One of these patients had an open Monteggia fracture while the other required open reduction. Two out of 44 patients (4.5%) in the percutaneous fixation group had non-union requiring reoperation while no patients in the buried group had nonunion or malunion. Removal of intramedullary fixation was the only significantly different outcome between buried and percutaneous hardware (132.2+99.7vs. Age, sex, and Bado classification were all similar between patients with exposed and buried intramedullary fixation. Average cast immobilization after surgery was 37.9+11.2 days (range: 17 to 56 days). Twenty-eight (48%) patients were Bado classification 1, three (5%) Bado 2, 26 (44%) Bado 3, and two (3%) Bado 4. Fifteen (25%) patients were fixed with buried fixation and 44 (75%) patients were treated with percutaneous fixation. All open fractures received intravenous antibiotics within 24 hours and formal irrigation and debridement. Fifty-two (88%) of the fractures were complete. Thirty-two (54%) Monteggia fractures were diaphyseal and 27 (46%) were metaphyseal. Average age was 6.1+2.7 years (range: 2 to 14 years) Thirty one (53%) patients were female. Results: Fifty nine patients met inclusion criteria. Variables collected included age, type of fixation, cast duration, complications, time to hardware removal, postoperative range of motion, time to fracture union, Bado classification, and fracture location. Methods: A retrospective review identified patients who suffered an acute Monteggia fracture between Januand Octoand underwent ulnar intramedullary fixation with a minimum of 6 weeks follow-up. We hypothesized that percutaneous fixation yields equivalent results to buried intramedullary fixation while eliminating a second surgery for hardware removal. This study analyzes the difference between the two types of ulnar intramedullary fixation. There is a paucity of research comparing ulnar percutaneous intramedullary fixation to buried intramedullary fixation in acute pediatric Monteggia fractures. Purpose: Pediatric Monteggia fractures often require surgical intervention to stabilize the ulna and maintain reduction of the radiocapitellar joint.
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