Monteggia's Fracture
Conditions
Keywords
elbow, fracture, patient reported outcome
Brief summary
Patients who had suffered a Monteggia fracture (lesion of the elbow) will be assessed regarding clinical and functional outcome (PROM) after treatment with osteosynthesis.
Detailed description
A retrospective, monocentric study will be performed. Patients who underwent surgical treatment after suffering a Monteggia injury or a Monteggia like lesion between 2012 and 2018 will be included. Fractures will classified after Bado and Jupiter, according to the fracture location of the proximal ulna, as well as regarding the potential accompanying ligamentary injury. In a follow-up examination validated patient-reported outcome measures (Disabilities of Arm, Shoulder and Hand Score \[DASH\], MEPS \[Mayo Elbow Performance Score\], Oxford Elbow Score \[OES\], Pain, Subjective Elbow Score) and functionality (range of motion \[ROM\], posterolateral instability, strength, valgus-/varus-stress) will be evaluated. In addition, treatment strategy and complications will be analysed.
Interventions
PROCEDUREOsteosynthesis
Treatment of fracture with open reduction and osteosynthesis
Sponsors
Technische Universität Dresden
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Patients with Monteggia fractures treated with osteosynthesis between 2012 and 2018 * understanding of German language (written and oral) * informed consent
Exclusion criteria
* Patients not meeting the above criteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disabilities of Arm, Shoulder and Hand Score (DASH) | Time of Follow-Up assesment, approx. 3-7 years after surgery, avg. 50months | Evaluation of the subjective function (patient reported outcome) using the DASH-Score, 0-100, best: 0, worst: 100 |
| Oxford Elbow Score (OES) | Time of Follow-Up assesment, approx. 3-7 years after surgery, avg. 50months | Evaluation of the subjective function (patient reported outcome) using the OES-Score, 0 - 48, best: 48, worst: 0 |
| Mayo Elbow Performance Score (MEPS) | Time of Follow-Up assesment, approx. 3-7 years after surgery, avg. 50months | Evaluation of the subjective function (patient reported outcome) using the MEPS-Score, 0-100, best: 100, worst: 0 |
| Range of Motion (ROM) | Time of Follow-Up assesment, approx. 3-7 years after surgery, avg. 50months | Objective functional clinical result. Evaluation of Motion of the Elbow in ° measured via goniometer. Physiological: Flexion/Extension 140/0/0°. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ulnar fracture localization (Radiologically) | baseline (timepoint of injury) | Localization of ulnar fracture was measured from the proximal tip of the Olecranon to the fracture line on conventional X-ray in order to assess whether further distal fractures have a worse outcome compared to fractures with a close relation to or affecting the elbow joint \[cm\] |
Countries
Germany
Outcome results
None listed