10 Monteggia Lesions in adult were treated for about 5 years from 1973 to 1977 at Seoul Red Cross Hospital. Closed reduction of the dislocated Radial Head was adequate in 8 patients of these cases. 6 cases belong to the type I of Bados classification of Monteggia Lesion. In 6 patients who had an open fracture of the Ulna associated with severe soft tissue damage or a fracture of Olecranon, range of motion of the affected elbow were listed as poor. Of the 4 patients on whom open reduction and internal fixation with compression plate only were done, only 3 patients gained satisfactory result. On follow-up(average 11.8 months), pain free full range of motion was observed in only 2 patients. The relationship between the type and the result of treatment was not observed in these cases.
Adult ; Classification ; Clinical Study ; Elbow ; Fractures, Open ; Head ; Humans ; Olecranon Process ; Range of Motion, Articular ; Red Cross ; Seoul ; Ulna