{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T01:12:43Z","timestamp":1770945163000,"version":"3.50.1"},"reference-count":18,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Shoulder and Elbow Arthroplasty"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Monteggia-like lesions are rare injuries in adults that include a wide spectrum of complex fracture-dislocations of the proximal ulna and radius. In this retrospective study, we performed a modified Boyd approach and a standard surgical protocol for the treatment of these lesions. Our aim was to evaluate the results of the operative treatment for patients with Monteggia-like lesions, using a modified Boyd approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>We present a retrospective study of 14 patients who underwent surgical treatment for Monteggia-like lesions. Preoperative clinical and radiological evaluation was performed. In 5 cases radial head prosthesis was placed, and in 3 cases the radial fracture was stabilized with the use of interfragmental screws. Regarding the proximal ulnar fracture, ORIF-anatomical plate and ORIF-straight plate was used in 12 and 2 cases, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Average clinical follow up was 16.9 months. Postoperatively, the mean Mayo Elbow Performance score was 83.4 points (range 70-100) and the mean visual analog scale was 1.7 (range 0-14). Mean flexion and loss of extension were 122.1\u00b0 (range 80\u00b0-140\u00b0) and 21.4\u00b0 (range 5\u00b0-40\u00b0), respectively. Mean supination of the forearm was 66.8\u00b0 (range 50\u00b0-80\u00b0) and the mean pronation was 67.5\u00b0 (range 60\u00b0-75\u00b0). Heterotopic ossification was observed in 3 patients (21.4%) and 1 patient developed stiffness (7.1%). The patient who developed stiffness underwent reoperation for plate removal and arthrolysis, with satisfactory results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The surgical treatment of Monteggia-like lesions in adults remains a challenge. In the present study, the use of a standard surgical protocol, with a modified Boyd approach, successfully restores the movement and stability of the elbow, with a low complication rate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/24715492231196622","type":"journal-article","created":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T12:35:17Z","timestamp":1692966917000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Surgical Treatment of Monteggia-Like Lesions With a Modified Boyd Approach"],"prefix":"10.1016","volume":"7","author":[{"given":"Zinon T.","family":"Kokkalis","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, School of Medicine, University Hospital of Patras, Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7983-4467","authenticated-orcid":false,"given":"Aikaterini","family":"Bavelou","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, School of Medicine, University Hospital of Patras, Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitrios","family":"Kalavrytinos","sequence":"additional","affiliation":[{"name":"251 Air Force General Hospital, Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Sinos","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, School of Medicine, University Hospital of Patras, Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Panagiotis","family":"Antzoulas","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, School of Medicine, University Hospital of Patras, Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8215-9327","authenticated-orcid":false,"given":"Andreas","family":"Panagopoulos","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, School of Medicine, University Hospital of Patras, Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","published-online":{"date-parts":[[2023,8,25]]},"reference":[{"key":"bibr1-24715492231196622","first-page":"131","volume-title":"Instituzionichirurgiches","volume":"5","author":"Monteggia 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