A Novel Case of Neglected Monteggia Fracture Dislocation

Autor: Arvin Najafi, Pouria Basiri, Salman Azarsina, Mohamad Sajad Mirhoseini, Ehsan Seif
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Orthopedic and Spine Trauma, Vol 7, Iss 3 (2022)
Druh dokumentu: article
ISSN: 2538-2330
2538-4600
DOI: 10.18502/jost.v7i3.8113
Popis: 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.
Databáze: Directory of Open Access Journals