Open AccessManagement of acute length-unstable Monteggia fractures in children: A case report
Author(s) -
Francesco Roberto Evola,
Giovanni Francesco Di Fede,
Santo Bonanno,
Giuseppe Evola,
Maria Elena Cucuzza
Publication year - 2021
Publication title -
world journal of orthopedics
Language(s) - English
Resource type - Journals
ISSN - 2218-5836
DOI - 10.5312/wjo.v12.i11.954
Subject(s) - medicine , intramedullary rod , forearm , surgery , reduction (mathematics) , subluxation , fixation (population genetics) , orthopedic surgery , population , alternative medicine , mathematics , geometry , environmental health , pathology
Monteggia fractures are uncommon injuries in paediatric age. Treatment algorithms assert that length-unstable fractures are treated with plate fixation. In this case report, intramedullary fixation of an acute length-unstable Monteggia fracture allowed a stable reduction to be achieved, along with an appropriate ulnar length and alignment as well as radio capitellar reduction despite the fact that the orthopaedic surgeon did not use a plate for the ulnar fracture. The scope of treatment is to avoid the use of a plate that causes periosteal stripping and blood circulation disruption around the fracture.