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Published on: April 11, 2012
Management of a Nonunion Type IIC Monteggia Fracture
Kiana Zanganeh1, Jennifer Madden2
1Lake Erie College of Osteopathic Medicine, Bradenton, Florida.
Introduction:
Monteggia fractures account for <2% of all forearm fractures, with malunion or nonunion occurring in approximately 2-10% of cases.
Case Report:
A 42-year-old female with no significant past medical history presented to the emergency department after a motor vehicle collision and was diagnosed with a Type IIC Monteggia fracture. She underwent open reduction internal fixation and failed to heal in the allotted time frame. A multifactorial approach to heal the nonunion was utilized and consisted of bone allograft, implantable bone stimulator, and platelet-rich plasma injection. With the help of the allograft, the patient was able to heal.
Discussion:
This case illustrates the importance of considering bone allografts in Type IIC fractures to prevent return to the OR in the case of nonunion.
Conclusion:
Consideration of bone allograft can prevent unnecessary return to the operating room and guide appropriate treatment.
