Vol. 2, Issue 1 (2020)
A Study on management of paediatric Monteggia fractures by closed reduction and plaster casting
Author(s): Wazir Fahad Jan, Umer Mushtaq Khan, Sumaya Zeerak, Haamid Rafiq Bhat
Abstract: Background: Monteggia fractures represent a unique orthopaedic injury especially in the children. Early diagnosis and management are imperative for attainment of good functional results. The purpose of this study was to evaluate the effectiveness of closed reduction and plaster casting in the management of paediatric Monteggia fractures in relation to achievement of union and functional results.Methods: This was a prospective observational study conducted on 20 patients of either sex with an average age of 5.6 years presenting to the Government Hospital, Pakherpora, J&K, India between January 2017 and April 2019, with a diagnosis of Monteggia fracture. All the patients underwent closed reduction and above elbow plaster casting. The patients were followed up for a period of 6 months. The patients were analysed for union and functional results using the Mayo Elbow Performance Score. Results: All the fractures united and the average time of union was 7.38 weeks. According to the Mayo Elbow Performance Score, the results at follow up were excellent in 12(60%), good in 5(25%), fair in 2(10%) and poor in 1(5%) of the patients, respectively in our study. Conclusions: Thus, results of our study demonstrate that closed reduction and above elbow POP casting is a safe and effective modality of treatment in the management of paediatric Monteggia fractures.