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

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

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Abstract Introduction In a Monteggia fracture dislocation, it is black knight darts 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 purple artisan keycap nailing.Conclusion The technique of stacked nailing is a useful addition to the armamentarium in the management of the potentially awkward Monteggia fracture.