9/10/2023 0 Comments Surgery for monteggia fracture![]() ![]() For children who have a type four classification they may use intramedullary wires or plate fixation to stabilize the fracture. Depending on the patient, healing time can take six weeks or longer. After the surgery is finished a cast will normally be applied to give it stability during healing. Because it is a very complex surgery you may need several surgeries to correct a Monteggia fracture. The surgery is done by an orthopedic surgeon, who is a surgical specialist that has received special training working with injuries to the bone, especially this type of fracture. This type of surgery is referred to as open reduction internal fixation. The surgery is done to pin the fractured ulna and to stabilize the joint if necessary. If the Monteggia fracture is severe you may need to have surgery. Taking either a prescription medication or over-the –counter medication for the pain.Put the ice pack into a plastic bag and wrap in a towel before you put it on the cast so the cast will not get wet Cold compresses but you have to be careful not to get the cast wet.Resting your arm by elevating it higher than your heart.The casting is done by an orthopedic physician who is trained in the branch of medicine that deals with your musculoskeletal system. Type 4 - three to four weeks for the lower part of your arm past your elbow and three week for the area above your elbow.Type 1 - three weeks in a cast above your elbow and then another three weeks with a cast on the area below your elbow.How long a cast will stay on depends on the classification of the fracture. Many times the Monteggia fracture will have to be treated using surgery. Unless the fracture appears problematic casting is often sufficient for younger patients. If they have pulled out of position or not healing the cast will be remove to correct the situation. After your arm has been in a cast for several weeks your physician will order more x-rays to confirm that the healing is even and the bones are knitting together. TreatmentĪlthough the exact treatment used depends on how severe the fracture is the conservative treatment for a Monteggia fracture is to cast it in order to immobilize the arm so the joint and the ulna have a chance to heal. They will take several angles so they can tell the full extent of your injury. To diagnosis a Monteggia fracture the radiographer will use an x-ray machine to visualize the joints and bones in your arm. This is referred to as a hyperpronation injury. Falling on an outstretched hand to break your fall. ![]()
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