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Sculpting Solutions: 3D-Printed Models Transform Osteotomy Planning in Monteggia Fractures.

Y C Shravan1, Suraj Prakash1, M Mahesh1

  • 1Department of Orthopaedic Surgery, M S Ramaiah Medical College and Hospital, Bengaluru, Karnataka, India.

Journal of Orthopaedic Case Reports
|June 16, 2025
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Summary

This case study details a novel 3D-printed model approach for treating a complex neglected Monteggia fracture in a child. This innovative technique improved surgical planning and outcomes for the radial head osteotomy.

Keywords:
3DNeglectedmonteggiaosteotomytactile

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Area of Science:

  • Orthopaedic Surgery
  • 3D Printing Applications
  • Pediatric Trauma

Background:

  • Neglected Monteggia fractures, defined as untreated proximal ulna fractures with radial head dislocation for over 4 weeks, present significant management challenges.
  • Delayed diagnosis and prior inadequate management can further complicate these injuries, particularly in pediatric patients.

Observation:

  • An 8-year-old girl with a complex neglected Monteggia fracture underwent a unique pre-operative planning approach.
  • A 3D-printed model of the fracture provided tactile feedback on the radial head deformity and its relationship to the ulna and capitellum.

Findings:

  • The 3D-printed model served as a crucial blueprint for planning the radial head osteotomy and reconstruction.
  • This pre-operative strategy enhanced intraoperative accuracy and efficiency.

Implications:

  • This novel application of 3D printing in orthopaedics offers a promising method for complex fracture management.
  • Improved surgical planning through 3D models can lead to better patient outcomes in neglected pediatric fractures.