Year: 2025
Type: article
Study design: Case Report
Abstract: Introduction. Monteggia fractures involving olecranon fractures and dislocations present complex challenges due to the need for simultaneous stabilization of multiple joint components. These injuries require precise surgical planning and execution to restore elbow function and minimize complications such as joint instability, nonunion, and reduced mobility. Modern surgical techniques, including the use of locking plates and careful anatomical reduction, have shown to significantly improve long-term outcomes. Case outline. This case report discusses the management of a 30-year-old female patient with a Monteggia fracture and olecranon fracture-dislocation following a cycling accident. The patient underwent delayed surgery due to severe soft tissue injuries. The procedure involved ulna fixation with an olecranon plate and radial head stabilization using a FiberTapeR system (Arthrex, Naples, FL, USA). Despite incomplete rehabilitation, the patient showed satisfactory recovery with only minor limitations in elbow movement. This case emphasizes the importance of early intervention, precise reduction, and the use of modern fixation techniques in optimizing recovery for complex elbow injuries. Conclusions. Effective treatment of Monteggia fractures associated with olecranon dislocation requires early intervention, precise anatomical reduction, and the use of modern fixation techniques to ensure optimal functional outcomes and minimize long-term complications.
Authors: Filip Maljkovic, Aleksandar Stanojkovic, Boris Zekic, Filip Milanovic, Branislav Krivokapic
Language: English
Subfield: Rehabilitation
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4410370374