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Case Studies | Orthopaedic Surgery | India | Volume 13 Issue 1, January 2024

Functional Outcomes of Paediatric Missed Monteggia Fractures Managed with Angulation Distraction Osteotomy of Ulna - A Case Series

Dr. Arun Mozhi Rajan | Dr. Suresh Babu | Dr. Charles Sekar

Abstract: Introduction: The aim of our study is to evaluate the medium- and long-term functional outcomes of missed monteggia fractures managed with angulation distraction osteotomy of ulna without annular ligament reconstruction. Methods: This is a single centre prospective study conducted in 10 patients who were followed up for 2 years. Patients were evaluated postoperatively using Mayo elbow performance index and radiologically using radiocapitellar line. Results: Mean duration of presentation was 13 months with a mean age of 7 years and the mean followup of the patients were2 years.90% of cases were Bado type-I and 10% of cases were Bado type-III. The results were excellent in 40%, good in 50% and poor 10%. Conclusion: Angulation distraction osteotomy of the ulna provides good functional outcomes in missed monteggia if intervened early.Annular ligament reconstruction is not a dictum.

Keywords: Paediatric Missed Monteggia Fracture, Angulation Distraction Osteotomy, Ulna

Edition: Volume 13 Issue 1, January 2024,

Pages: 784 - 787