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VOLUME 12 , ISSUE 2 ( August, 2017 ) > List of Articles

CASE REPORT

Combined open bipolar Monteggia and Galeazzi fracture: a case report with a 1-year follow-up

Christos Koutserimpas, Georg Tsironis, Antonios Salasidis, Phillipp Swatoch, Konstantin Tsironis

Keywords : Combined Monteggia, Galeazzi, Forearm, Fracture

Citation Information : Koutserimpas C, Tsironis G, Salasidis A, Swatoch P, Tsironis K. Combined open bipolar Monteggia and Galeazzi fracture: a case report with a 1-year follow-up. 2017; 12 (2):121-125.

DOI: 10.1007/s11751-017-0280-z

License: CC BY-NC-SA 4.0

Published Online: 31-08-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Monteggia and Galeazzi fractures account for 1–5% of total forearm fractures. A combined Monteggia and Galeazzi fracture is an extremely rare injury. We present a case of a Gustillo-Henderson type 2 open combined bipolar Monteggia and Galeazzi fracture, as well as fracture of the ulnar coronoid process in a 49-year old male. The patient was treated surgically, with open reduction and internal fixation. At 6 months postoperative, he was diagnosed with pseudarthrosis and underwent surgery with autologous bone grafting from the iliac crest. At the 1-year follow-up, the patient presented an extension deficit of 5° in elbow, a 15° deficit in pronation and 20° deficit in supination of the wrist. The patient continues to work as a painter without significant problems in his everyday routine and he is still regularly engaged in cycling. Additionally we provide a historical background of these injuries.


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