Use of intra-medullary stacked nailing in the reduction of proximal plastic deformity in a pediatric Monteggia fracture: A case report

Abstract

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. © 2011 Lim and Huntley; licensee BioMed Central Ltd.