Author/Authors :
Najafi, Arvin Department of Orthopedics - Shahid Madani Hospital - School of Medicine - Alborz University of Medical Sciences - Karaj, Iran , Basiri, Pouria School of Medicine - Alborz University of Medical Sciences - Karaj, Iran , Azarsina, Salman Department of Orthopedics - Shahid Madani Hospital - School of Medicine - Alborz University of Medical Sciences - Karaj, Iran , Mirhoseini, Mohamad Sajad Department of Orthopedics - Shahid Madani Hospital - School of Medicine - Alborz University of Medical Sciences - Karaj, Iran , Seif, Ehsan School of Medicine - Alborz University of Medical Sciences - Karaj, Iran
Abstract :
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.
