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Patients who had suffered a Monteggia fracture (lesion of the elbow) will be assessed regarding clinical and functional outcome (PROM) after treatment with osteosynthesis.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Monteggia Cohort | Including all Patients. Patients who had suffered a Monteggia fracture and were treated with osteosynthesis |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Osteosynthesis | Procedure | Treatment of fracture with open reduction and osteosynthesis |
|
| Measure | Description | Time Frame |
|---|---|---|
| Disabilities of Arm, Shoulder and Hand Score (DASH) | Evaluation of the subjective function (patient reported outcome) using the DASH-Score, 0-100, best: 0, worst: 100 | Time of Follow-Up assesment, approx. 3-7 years after surgery, avg. 50months |
| Oxford Elbow Score (OES) | Evaluation of the subjective function (patient reported outcome) using the OES-Score, 0 - 48, best: 48, worst: 0 | Time of Follow-Up assesment, approx. 3-7 years after surgery, avg. 50months |
| Mayo Elbow Performance Score (MEPS) | Evaluation of the subjective function (patient reported outcome) using the MEPS-Score, 0-100, best: 100, worst: 0 | Time of Follow-Up assesment, approx. 3-7 years after surgery, avg. 50months |
| Range of Motion (ROM) | Objective functional clinical result. Evaluation of Motion of the Elbow in ° measured via goniometer. Physiological: Flexion/Extension 140/0/0°. | Time of Follow-Up assesment, approx. 3-7 years after surgery, avg. 50months |
| Measure | Description | Time Frame |
|---|---|---|
| Ulnar fracture localization (Radiologically) | 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] | baseline (timepoint of injury) |
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Inclusion Criteria:
Exclusion Criteria:
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Patients treated at the University Hospital Dresden.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universitätsklinikum Carl Gustav Carus | Dresden | 01307 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35672754 | Derived | Tille E, Seidel L, Schlussler A, Beyer F, Kasten P, Bota O, Biewener A, Nowotny J. Monteggia fractures: analysis of patient-reported outcome measurements in correlation with ulnar fracture localization. J Orthop Surg Res. 2022 Jun 7;17(1):303. doi: 10.1186/s13018-022-03195-1. |
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No. Data may be shared upon reasonable request.
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| ID | Term |
|---|---|
| D009011 | Monteggia's Fracture |
| D050723 | Fractures, Bone |
| ID | Term |
|---|---|
| D000072039 | Fracture Dislocation |
| D004204 | Joint Dislocations |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D005593 | Fracture Fixation, Internal |
| ID | Term |
|---|---|
| D005592 | Fracture Fixation |
| D019637 | Orthopedic Procedures |
| D013812 | Therapeutics |
| D013514 | Surgical Procedures, Operative |
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| D000092464 |
| Elbow Injuries |
| D001134 | Arm Injuries |
| D014947 | Wounds and Injuries |
| D014458 | Ulna Fractures |