Contrasting Outcomes in Chronic Monteggia Fracture Management: Key Lessons From Two Pediatric Cases
Nazrin Radzuan1, Imma Isniza Ismail1, Norazian Kamisan1
1Pediatric Orthopedic Unit, Universiti Putra Malaysia, Serdang, MYS.
Cureus
|March 2, 2026
Summary
For chronic pediatric Monteggia fractures, the sliding oblique ulnar osteotomy technique provides superior stability and better outcomes compared to transverse osteotomies, reducing the risk of recurrent dislocations.
Area of Science:
- Pediatric Orthopedics
- Pediatric Trauma Surgery
- Pediatric Bone Healing
Background:
- Chronic Monteggia fracture-dislocations in children present significant surgical challenges.
- Ulnar osteotomy is crucial for reconstruction, but optimal techniques for stable radiocapitellar reduction are debated.


