title: Combined open bipolar Monteggia and Galeazzi fracture: a case report with a 1-year follow-up.
abstract: Monteggia and Galeazzi fractures account for 1-5% of total forearm fractures. A combined Monteggia and Galeazzi fracture is an extremely rare injury. We present a case of a Gustillo-Henderson type 2 open combined bipolar Monteggia and Galeazzi fracture, as well as fracture of the ulnar coronoid process in a 49-year old male. The patient was treated surgically, with open reduction and internal fixation. At 6 months postoperative, he was diagnosed with pseudarthrosis and underwent surgery with autologous bone grafting from the iliac crest. At the 1-year follow-up, the patient presented an extension deficit of 5° in elbow, a 15° deficit in pronation and 20° deficit in supination of the wrist. The patient continues to work as a painter without significant problems in his everyday routine and he is still regularly engaged in cycling. Additionally we provide a historical background of these injuries.
authors.affiliation: Department of Orthopaedics Traumatology, St Katharinen, Academic Hospital of Frechen, University of Cologne, Bruesseler Platz 12, 50674, Cologne, Germany. chrisku91@hotmail.com.
authors.forename: Christos
authors.initials: C
authors.lastname: Koutserimpas
authors.affiliation: Department of Orthopaedics Traumatology, St Katharinen, Academic Hospital of Frechen, University of Cologne, Bruesseler Platz 12, 50674, Cologne, Germany.
authors.forename: Georg
authors.initials: G
authors.lastname: Tsironis
authors.affiliation: Department of Orthopaedics Traumatology, St Katharinen, Academic Hospital of Frechen, University of Cologne, Bruesseler Platz 12, 50674, Cologne, Germany.
authors.forename: Antonios
authors.initials: A
authors.lastname: Salasidis
authors.affiliation: Department of Orthopaedics Traumatology, St Katharinen, Academic Hospital of Frechen, University of Cologne, Bruesseler Platz 12, 50674, Cologne, Germany.
authors.forename: Phillipp
authors.initials: P
authors.lastname: Swatoch
authors.affiliation: Department of Orthopaedics Traumatology, St Katharinen, Academic Hospital of Frechen, University of Cologne, Bruesseler Platz 12, 50674, Cologne, Germany.
authors.forename: Konstantin
authors.initials: K
authors.lastname: Tsironis
keywords: Combined Monteggia; Forearm; Fracture; Galeazzi