Peer-reviewed veterinary case report
Repair of Monteggia fractures using an Arthrex Tightrope system and ulnar plating.
- Journal:
- Veterinary surgery : VS
- Year:
- 2011
- Authors:
- Vallone, Luc & Schulz, Kurt
- Affiliation:
- Peak Veterinary Referral Center · United States
Plain-English summary
In this study, a dog and a cat were treated for Monteggia fractures, which involve a break in the forearm bone along with a dislocation of the elbow. The treatment used a special surgical technique that involved placing a Tightrope suture and button implant to stabilize the fractures. After follow-up assessments at various intervals, both pets were found to have returned to normal function, with their movement nearly as good as their uninjured limbs, and there were no complications reported. Overall, the treatment was very successful.
Abstract
OBJECTIVE: To report the outcome after treatment of Monteggia fractures (MF) using a novel surgical technique. STUDY DESIGN: Clinical reports. METHODS: One dog and 1 cat were treated for MF by use of a Tightrope suture, toggle, and button implant. In both patients the fracture/luxations were reduced using an open technique and the tightrope was placed using a cannulated drill system and guide wire from cranial to caudal. Cases were retrospectively reviewed at 1, 5, and 8 weeks (cat) and at 4 weeks and 4 months (dog) for complications and outcome. Outcomes were measured by subjective assessment of range of motion comparing affected to unaffected limbs, and lameness scoring and by client description of function. RESULTS: Both animals returned to normal function with range of motion close to that of the unaffected limb. No complications were recognized. CONCLUSIONS: Tightrope repair of MF resulted in excellent clinical results with no complications.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/21770974/