Angulating-Distraction Ulnar Osteotomy and Interpositional Phosphocalcic Ceramic Wedge Graft for a Chronic Monteggia...

Area of Science:

• Orthopedic Surgery
• Traumatology

Background:

• The Bouyala technique, involving radial head reduction and ulnar osteotomy, is a primary treatment for chronic traumatic radial head dislocation.
• Early intervention (within 1 year of trauma) is recommended, especially without osteoarthritis changes.

Observation:

• A case report detailing the Bouyala technique for radial head dislocation.
• Utilized a synthetic phosphocalcic ceramic wedge graft instead of traditional autologous bone grafts.

Findings:

• Successful osteotomy union within three months.
• Achieved full, pain-free range of motion with no residual deformity.
• The synthetic graft provided rigid fixation and enhanced stability.

Implications:

• Synthetic grafts may reduce donor site morbidity compared to autografts.
• Rigid fixation facilitates early active mobilization, potentially minimizing contractures.
• This approach shows promise for favorable clinical outcomes in radial head dislocation treatment.