[Treatment of neglected Monteggia's fracture by ulnar lengthening using the Ilizarov technique].

Abstract

We present an original method for the treatment of neglected Monteggia fractures using the Ilizarov technique. This method allows reduction without accessing the radial head by progressive ulnar lengthening after proximal subperiosteal osteotomy of the ulnar bone. We used this method in a six and a half year old girl and achieved excellent radiographical and functional results with normal joint amplitudes. In our opinion, the quality of the outcome is related to the progressiveness of the bone lengthening enabled by this technique which allows restoration of the ulnar length, preservation of the axes of both forearm bones, and controlled reduction of the radial head.

• Authors: P Gicquel, B De Billy, C Karger, M C Maximin, J M Clavert
• Journal: Revue de chirurgie orthopedique et reparatrice de l'appareil moteur (Rev Chir Orthop Reparatrice Appar Mot) Vol. 86 Issue 8 Pg. 844-7 (Dec 2000) ISSN: 0035-1040 [Print] France
• Vernacular Title: Traitement de la fracture de Monteggia négligée par allongement de l'ulna avec la technique d'Ilizarov.
• PMID: 11148422 (Publication Type: Case Reports, Journal Article)

Topics

• Bone Lengthening (instrumentation)
• Child
• Female
• Follow-Up Studies
• Humans
• Ilizarov Technique
• Monteggia's Fracture (diagnostic imaging, surgery)
• Radiography
• Time Factors