Open AccessA Novel Case of Neglected Monteggia Fracture Dislocation
Author(s) -
Arvin Najafi,
Pouria Basiri,
Salman Azarsina,
Mohamad Sajad Mirhoseini,
Ehsan Seif
Publication year - 2021
Publication title -
journal of orthopedics and spine trauma
Language(s) - English
Resource type - Journals
eISSN - 2538-4600
pISSN - 2538-2330
DOI - 10.18502/jost.v7i3.8113
Subject(s) - medicine , elbow , surgery , deformity , reduction (mathematics) , internal fixation , fixation (population genetics) , dislocation , complication , range of motion , population , materials science , geometry , mathematics , environmental health , composite material
Background: The Monteggia fracture-dislocation is a rare condition among children, and its treatment is still controversial. The treatment can become quite complicated when the diagnosis is delayed. There is a broad range of surgical treatments with various complications like subluxations, degenerative changes, and radial head deformity. The present case was reported as a novel surgical treatment choice for neglected Monteggia fracture-dislocation.
Case Report: A 16 year-old boy presented with left elbow severe range of motion (ROM) limitation and pain who was diagnosed with neglected Monteggia fracture-dislocation. The patient went through open reduction beside internal fixation of the ulnar shaft via Limited Contact Dynamic Compression Plate (LC-DCP) and radio-capitellar joint reduction and provisional fixation by a pin. The patient recovered after three months with a significant increase in elbow ROM without any complications.
Conclusion: This method could be an appropriate treatment of choice for neglected Monteggia fractures which indeed had excellent outcomes without complication.