SPECIAL FOCUS: Orthopaedic TraumaAdult Monteggia fractures: surgical treatment and management of complicationsBeingessner, Daphne MAuthor Information Correspondence to Daphne M. Beingessner, BMath, BSc, MSc, MD, FRCSC, Harborview Medical Center, University of Washington, 325 9th Avenue, Box 359798, Seattle, WA 98104 Tel: +206 744 3466; fax: +206 744 3227; e-mail: email@example.com Current Orthopaedic Practice: October 2009 - Volume 20 - Issue 5 - p 499-505 doi: 10.1097/BCO.0b013e3181b64e80 Buy Metrics Abstract Monteggia fractures in adults continue to be challenging injuries to manage. As experience with these complex fractures continues to evolve, a better understanding has emerged allowing for improved surgical techniques and patient outcomes. Certain subtypes of this injury recently have been shown to be correlated with poor outcomes and a high rate of revision surgery within the first year of the index procedure. By better understanding the injury pattern itself along with associated injuries (both bony and soft tissue) and their management, results can be improved. The purpose of this review was to outline the key features of adult Monteggia injuries as well as a treatment strategy based on the most current literature. Complications and common treatment pitfalls as well as their management also are reviewed. © 2009 Lippincott Williams & Wilkins, Inc.