Patients who had suffered a Monteggia fracture (lesion of the elbow) will be assessed regarding clinical and functional outcome (PROM) after treatment with osteosynthesis.
A retrospective, monocentric study will be performed. Patients who underwent surgical treatment after suffering a Monteggia injury or a Monteggia like lesion between 2012 and 2018 will be included. Fractures will classified after Bado and Jupiter, according to the fracture location of the proximal ulna, as well as regarding the potential accompanying ligamentary injury. In a follow-up examination validated patient-reported outcome measures (Disabilities of Arm, Shoulder and Hand Score \[DASH\], MEPS \[Mayo Elbow Performance Score\], Oxford Elbow Score \[OES\], Pain, Subjective Elbow Score) and functionality (range of motion \[ROM\], posterolateral instability, strength, valgus-/varus-stress) will be evaluated. In addition, treatment strategy and complications will be analysed.
Study Type
OBSERVATIONAL
Enrollment
35
Treatment of fracture with open reduction and osteosynthesis
Universitätsklinikum Carl Gustav Carus
Dresden, Germany
Disabilities of Arm, Shoulder and Hand Score (DASH)
Evaluation of the subjective function (patient reported outcome) using the DASH-Score, 0-100, best: 0, worst: 100
Time frame: Time of Follow-Up assesment, approx. 3-7 years after surgery, avg. 50months
Oxford Elbow Score (OES)
Evaluation of the subjective function (patient reported outcome) using the OES-Score, 0 - 48, best: 48, worst: 0
Time frame: Time of Follow-Up assesment, approx. 3-7 years after surgery, avg. 50months
Mayo Elbow Performance Score (MEPS)
Evaluation of the subjective function (patient reported outcome) using the MEPS-Score, 0-100, best: 100, worst: 0
Time frame: Time of Follow-Up assesment, approx. 3-7 years after surgery, avg. 50months
Range of Motion (ROM)
Objective functional clinical result. Evaluation of Motion of the Elbow in ° measured via goniometer. Physiological: Flexion/Extension 140/0/0°.
Time frame: Time of Follow-Up assesment, approx. 3-7 years after surgery, avg. 50months
Ulnar fracture localization (Radiologically)
Localization of ulnar fracture was measured from the proximal tip of the Olecranon to the fracture line on conventional X-ray in order to assess whether further distal fractures have a worse outcome compared to fractures with a close relation to or affecting the elbow joint \[cm\]
Time frame: baseline (timepoint of injury)
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