Author/Authors :
SG, Gooi Department of Orthopaedics - Pulau Pinang Hospital - Georgetown, Malaysia , CS, Wang Department of Orthopaedics - Pulau Pinang Hospital - Georgetown, Malaysia , A, Saw National Orthopaedic Center of Excellence for Research and Learning (NOCERAL) - University of Malaya - Kuala Lumpur, Malaysia , O, Zulkiflee Department of Orthopaedics - Pulau Pinang Hospital - Georgetown, Malaysia
Abstract :
Missed Monteggia fracture leading to chronic radial head dislocation is a known complication. The surgical treatment options remain challenging. The aim of treatment is to reduce the radial head and to maintain the stability of the
elbow in all ranges of motion. A few surgical techniques
have been described with complications. We report the case
of a 13 years old boy with chronic radial head dislocation as
a result of an unrecognised Monteggia fracture-dislocation
for eight years. We successfully reduced the radial head and
corrected the cubital valgus from 45 degrees to 10 degrees
with a proximal ulna osteotomy and gradual distraction with 2-pin Monotube external fixator. The correction was uneventful with good functional outcome.
