title: Missed radial head dislocations in children associated with ulnar deformation: treatment by open reduction and ulnar osteotomy.
abstract: OBJECTIVE
  To evaluate the results of open reduction and ulnar osteotomy on missed Monteggia fractures in children.
  
  
  METHODS
  Retrospective review.
  
  
  METHODS
  Tertiary care center orthopaedic hospital in Pellenberg, Belgium.
  
  
  METHODS
  Six children between 2 and 6 years old who sustained a Monteggia fracture that was initially missed were treated at our institute. They presented in our hospital 5 to 59 weeks postinjury.
  
  
  METHODS
  Open reduction of the radial head was performed, combined with a dorsal opening wedge osteotomy of the proximal ulna and fixation with plate and screws.
  
  
  METHODS
  Mobility of the elbow was measured by an independent observer, evaluating flexion-extension and pronation-supination preoperatively and postoperatively.
  
  
  RESULTS
  All patients regained a normal range of motion, the radial head remained relocated, and the axis of the forearm remained normal.
  
  
  CONCLUSIONS
  This operation-open reduction of the radial head and osteotomy of the ulna-results in an excellent outcome for a missed Monteggia fracture in children.
authors.affiliation: Orthopedic Department, University Hospital Pellenberg, Pellenberg, Belgium.
authors.forename: I
authors.initials: I
authors.lastname: Degreef
authors.forename: L
authors.initials: L
authors.lastname: De Smet
mesh_terms: D002648:Child; D002675:Child, Preschool; D003951:Diagnostic Errors; D004551:Elbow Joint / Q000503:physiopathology; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D009011:Monteggia's Fracture / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D010027:Osteotomy; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D014457:Ulna / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*