Keywords: fracture dislocations, forearm


Purpose of the study: to analyze the treatment results of fracture dislocations of the forearm bones.

Materials and research methods. In the traumatology department of the KP “Dnepropetrovsk Regional Clinical Hospital named after I.I. Mechnikov "DOR" 63 patients with fracture dislocations of the proximal forearm bones has been trested from 2016 to 2020. Taking into account the peculiarities of damage to the stability components of the elbow joint, all patients were divided into 3 groups depending on the type of damage to various anatomical stabilizers of the elbow joint: dislocation fractures of the Monteggi type, fractures of Malgene dislocation (through-olecranial fractures), “terrible triad”.

Results. In the Monteggi fracture dislocation group (n = 24), excellent and good long-term functional results in 16.7% and 45.8% of patients, respectively, satisfactory - in 20.8% and unsatisfactory - in 16.7%. In the Malgeny fracture dislocation group, the majority of patients had excellent and good results - 14 (87.5%), satisfactory - in 2 (12.5%), there were no unsatisfactory results. In the group "terrible triad of the elbow joint" excellent results were obtained in 3 cases (15.8%), good - in 7 (36.8%), satisfactory - in 4 (21.1%), and unsatisfactory - in 5 (26 , 3%).

Conclusions. Stable-functional osteosynthesis with the restoration of bone and soft tissue stabilizers of the elbow joint, with the possibility of active early restoration of the function of the elbow joint, help to reduce the period of disability and give positive results in 84.7% of patients.


Haller JM, Hulet AD, Hannay W, Cardon J, Tashjian R, Beingessner D. Patient Outcomes After Transolecranon Fracture-Dislocation. Journal of the American Academy of Orthopaedic Surgeons [Internet]. 2021;29(3):109-115. Available from: doi:10.5435/jaaos-d-20-00254.

Artiaco S, Fusini F, Sard A, Dutto E, Massè A, Battiston B. Fracture–dislocations of the forearm joint: a systematic review of the literature and a comprehensive locker-based classification system. Journal of Orthopaedics and Traumatology [Internet]. 2020;21(1). Available from: doi:10.1186/s10195-020-00562-8.

McKee MD, Pugh MW, Wild LM, Schemitsch EH, King JW. Standard Surgical Protocol to Treat Elbow Dislocations with Radial Head and Coronoid Fractures. Journal of Bone and Joint Surgery [Internet]. 2005;87(1):22-32. Available from: doi:10.2106/jbjs.d.02933.

Morrey BF, Sotelo JS, Morrey ME. Morrey's the Elbow and Its Disorders. Elsever: Elsevier - Health Sciences Division; 2018.

Naumenko LU, Ipatov AV, Zub TO, Mametyev AO. Stan invalidnosti vnaslidok travm verkhnoi kintsivky v Ukraini za 2017 rik. TRAUMA [Internet]. 2021;19(4):9-14. Available from: doi:10.22141/1608-1706.4.19.2018.142100.

Jungbluth P, Tanner S, Schneppendahl J, Grassmann J, Wild M, Hakimi M, et al. The challenge of Monteggia-like lesions of the elbow. The Bone & Joint Journal [Internet]. 2018;100-B(2):212-218. Available from: doi:10.1302/0301-620x.100b2.bjj-2017-0398.r2.

Rat`ev AP, Skoroglyadov AV, Korobushkin GV, Zhavoronokov EA, Lyadova MV. Otdalyonny`e rezul`taty` lecheniya pacientov s perelomovy`vixami kostej predplech`ya. Vestnik RGMU. 2013;3:26-30.

Kurinnyi IM, Strafun OS. Likuvannia "neshchaslyvoi triady liktovoho suhloba" ta yii naslidkiv. Ortopedyia, travmatolohyia y protezyrovanye. 2015;2:42-47.

Foruria AM, Lawrence TM, Augustin S, Morrey BF, Sanchez-Sotelo J. Heterotopic ossification after surgery for distal humeral fractures. Bone Joint J [Internet]. 2014;96-B(12):1681-1687. Available from: doi:10.1302/0301-620x.96b12.34091.

Strafun SS, Kurinnyi IM, Strafun OS. Rezultaty endoprotezuvannia holovky promenevoi kistky. Travma. 2018;19(3):61-66.

Ring D, Jupiter JB, Zilberfarb J. Posterior dislocation of the elbow with fractures of the radial head and coronoid. The Journal of Bone and Joint Surgery-American Volume [Internet]. 2002;84(4):547-551. Available from: doi:10.2106/00004623-200204000-00006..

Garrigues GE, Wray WH, Lindenhovius LC, Ring DC, Ruch DS. Fixation of the Coronoid Process in Elbow Fracture-Dislocations. Journal of Bone and Joint Surgery [Internet]. 2011;93(20):1873-1881. Available from: doi:10.2106/jbjs.i.01673.

Athwal GS, Frank SG, Grewal R, Faber KJ, Johnson J, King JW. Determination of Correct Implant Size in Radial Head Arthroplasty to Avoid Overlengthening. Journal of Bone and Joint Surgery [Internet]. 2010;92(Supplement_1_Part_2):250-257. Available from: doi:10.2106/jbjs.j.00356.

Tajima T, Yoshizu T. Treatment of long-standing dislocation of the radial head in neglected monteggia fractures. The Journal of Hand Surgery [Internet]. 1995;20(3):S91-S94. Available from: doi:10.1016/s0363-5023(95)80177-4.

How to Cite
Domansky, A., & Loskutov, A. (2022). TREATMENT RESULTS OF PATIENTS WITH FRACTURE-DISLOCATION OF THE FOREARM BONES. Modern Medical Technology, (3(54), 55-59.
Original research