Lesión Monteggia-like en adultos: nuestra experiencia en los últimos años

BACKGROUND: Monteggia-like lesions represent a rare and complex injury with diverse fracture configurations. OBJECTIVE: To assess short- to mid-term outcomes of patients with Monteggia-like lesions treated surgically at our institution. To analyze the results based on fracture type and surgical experience. MATERIALS AND METHODS: A single-center retrospective study including 33 patients surgically treated between 2017 and 2024 was conducted. Fractures were classified using Bado, Jupiter, Mason and Regan-Morrey systems. Clinical, surgical, and functional parameters were evaluated, including complication and reoperation rates. RESULTS: Mean age was 58.7years; 63.3% were female. Average joint range of motion: flexion 130.76°, extension -14.55°, pronation 80.48°, supination 82.82°. Average functional scores: MEPS 81.97, Oxford 42.73, VAS 2.4. Arthrolysis combined with prosthetic explantation was performed in 23.1% of radial head arthroplasties. Complication rate was 21.2%. No significant differences were observed based on fracture type/pattern. Outcomes were significantly better in cases managed by experienced elbow surgeons. CONCLUSIONS: Further studies are required to define this entity independently from the classical lesion. The results of the present study suggest that a comprehensive management of all associated injuries, performed by experienced teams, could be associated with favorable clinical outcomes.