Procedure 22 - Open Reduction and Internal Fixation of Monteggia and Galeazzi Fractures

Abstract

The gold standard for treatment in the adult population is open reduction and internal fixation of the ulna with plate and screws, with closed reduction of the radial head dislocation or, when necessary, open reduction and internal fixation of the radial head or coronoid fractures and soft tissue stabilization. Nonoperative treatment is usually restricted to the child population. Good to excellent outcomes should be expected in simple Monteggia fracture. Worse prognosis is seen with Monteggia fractures associated to radial head or coronoid injuries. A non anatomic reduction of the proximal ulna (PUDA) will cause radial head subluxation and decreased range of motion.