Published in:
Open Access 01-12-2011 | Case report
Use of intra-medullary stacked nailing in the reduction of proximal plastic deformity in a pediatric Monteggia fracture: a case report
Published in: Journal of Medical Case Reports | Issue 1/2011
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Introduction
In a Monteggia fracture dislocation, it is important to reduce the ulnar fracture completely. Extensive plastic deformation of the proximal ulna may make reduction by closed manipulation impossible.
Case presentation
We report the case of a four-year-old Caucasian boy in whom the plastic deformation of the proximal ulna was reduced, and this reduction was maintained, using intra-medullary stacked nailing.
Conclusion
The technique of stacked nailing is a useful addition to the armamentarium in the management of the potentially awkward Monteggia fracture.