title: A fragment-specific approach to Type IID Monteggia elbow fracture-dislocations.
abstract: OBJECTIVE
  To describe the pattern of injury, surgical technique, and outcomes of Monteggia Type IID fracture dislocations.
  
  
  METHODS
  Retrospective review of prospectively collected clinical and radiographic patient data in an orthopaedic trauma database.
  
  
  METHODS
  Level I university-based trauma center.
  
  
  METHODS
  All patients with Monteggia Type IID fracture-dislocations admitted from January 2000 to July 2005.
  
  
  METHODS
  Review of patient demographics, fracture pattern, method of fixation, complications, additional surgical procedures, and clinical and radiographic outcome measures.
  
  
  METHODS
  Clinical outcomes: elbow range of motion, complications. Radiographic outcomes: characteristic fracture fragments, quality of fracture reduction, healing time, degenerative changes, and heterotopic ossification.
  
  
  RESULTS
  Sixteen patients were included in the study. All fractures united. There were six complications in six patients, including three contractures with associated heterotopic ossification, one pronator syndrome and late radial nerve palsy, one radial head collapse, and one with prominent hardware.
  
  
  CONCLUSIONS
  Monteggia IID fracture-dislocations are complex injuries with typical specific fracture fragments. Anatomic fixation of all injury components and avoidance of complications where possible can lead to a good outcome in these challenging injuries.
authors.affiliation: Harborview Medical Center, Department of Orthopaedic Surgery, Seattle, WA, USA. daphneb@uw.edu
authors.forename: Daphne M
authors.initials: DM
authors.lastname: Beingessner
authors.forename: Sean E
authors.initials: SE
authors.lastname: Nork
authors.forename: Julie
authors.initials: J
authors.lastname: Agel
authors.forename: Darius
authors.initials: D
authors.lastname: Viskontas
mesh_terms: D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000502:physiology; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D009011:Monteggia's Fracture / Q000000981:diagnostic imaging / Q000601:surgery*; D017063:Outcome Assessment, Health Care; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D016896:Treatment Outcome; D000092464:Elbow Injuries