![]() The fracture of the radial head was treated with either complete or partial excision of the fragments in twelve patients (with replacement with a silicone prosthesis in two), open reduction and internal fixation in ten patients, and no intervention in four patients. The remaining patients had fixation with a plate and screws. An ulnar diaphyseal fracture was fixed with an intramedullary Steinmann pin in one patient. The ulna was fixed with a tension band-wire construct supplemented with screws in three patients (all of whom had a Bado type-II fracture). Twenty-six patients (68 percent) who had a Bado type-II fracture had an associated fracture of the radial head ten of these patients also had a fracture of the coronoid process as a single large fragment. According to the classification of Bado, there were seven type-I, thirty-eight type-II, one type-III, and two type-IV injuries. There were twenty-five women and twenty-three men, and the average age was fifty-two years (range, eighteen to eighty-eight years). Forty-eight patients who had been followed for a minimum of two years (average, 6.5 years range, two to fourteen years) were identified. ![]() ![]() The records concerning ten consecutive years of experience with Monteggia fractures in adult patients at a level-one trauma center were retrospectively reviewed. ![]()
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