Ulnar Osteotomy with 2-Pin Unilateral Gradual Distraction for Treatment of Chronic Monteggia Fracture: A Case Report
- Author:
Gooi SG
;
Wang CS
;
Saw A
;
Zulkiflee O
- Publication Type:Case Reports
- Keywords:
chronic monteggia;
monotube;
gradual lengthening
- From:Malaysian Orthopaedic Journal
2017;11(1):79-81
- CountryMalaysia
- Language:English
-
Abstract:
Missed Monteggia fracture leading to chronic radial head
dislocation is a known complication. The surgical treatment
options remain challenging. The aim of treatment is to
reduce the radial head and to maintain the stability of the
elbow in all ranges of motion. A few surgical techniques
have been described with complications. We report the case
of a 13 years old boy with chronic radial head dislocation as
a result of an unrecognised Monteggia fracture-dislocation
for eight years. We successfully reduced the radial head and
corrected the cubital valgus from 45 degrees to 10 degrees
with a proximal ulna osteotomy and gradual distraction with
2-pin Monotube external fixator. The correction was
uneventful with good functional outcome.
- Full text:P020170413545195095308.pdf
