Abstract
Corrective Ulnar Osteotomy and Annular Ligament Reconstruction by Fascia Lata in Neglected Monteggia Fracture Dislocation in Children.
Highlights
Giovanni Battista Monteggia first described in 1814 the fracture dislocation named after him
Many surgical technique have been described to manage neglected Monteggia fracture dislocation and common technique is the ulnar osteotomy for restoration of the ulnar length and reduction of the radial head with annular ligament reconstruction for restoration of the elbow biomechanics for this difficult problem
Late open reduction for chronically dislocated radial heads in children produces good to excellent results
Summary
Giovanni Battista Monteggia first described in 1814 the fracture dislocation named after him. It represents a link between injuries of the forearm and the elbow. The patients have significant disability in less severe injury with minimum angulations of ulnar fracture, where radial head dislocation may be missed. Neglected Monteggia fracture dislocation in children constitutes significant disability in respect to pain, stiffness, deformity, neurological compromise and restriction of activities of daily living. Many surgical technique have been described to manage neglected Monteggia fracture dislocation and common technique is the ulnar osteotomy for restoration of the ulnar length and reduction of the radial head with annular ligament reconstruction for restoration of the elbow biomechanics for this difficult problem
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