Old Monteggia Fracture-Dislocation Treated with Plating and Forearm Fascial Slip Annular Ligament Reconstruction: A Rare Method of Treatment and Review of Literature

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Abstract
Introduction: Chronic radial head dislocation in old standing or neglected Monteggia fracture is a devastating complication. We present our case regarding managing such a case using plating and fascial slip annular ligament reconstruction (ALR). Case Report: A 40-year-old male patient, farmer by profession presented with a 4-month-old neglected Monteggia fracture. He was treated with open reduction and internal fixation of fracture ulna with ALR using forearm deep fascial slip. The patient underwent regular physiotherapy post-operatively after 2 weeks of surgery. The patient was followed for 6 months, and DASH score was used to evaluate functional outcome. Conclusion: Excellent results were obtained as regards to pain, wrist range of motion, fracture union, and resuming routine activities at the follow-ups. Keywords: Monteggia, fracture, annular ligament reconstruction.

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