title: Use of intra-medullary stacked nailing in the reduction of proximal plastic deformity in a pediatric Monteggia fracture: a case report.
abstract: BACKGROUND
  In a Monteggia fracture dislocation, it is important to reduce the ulnar fracture completely. Extensive plastic deformation of the proximal ulna may make reduction by closed manipulation impossible.
  
  
  METHODS
  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 nailing.
  
  
  CONCLUSIONS
  The technique of stacked nailing is a useful addition to the armamentarium in the management of the potentially awkward Monteggia fracture.
authors.affiliation: Orthopaedic Department, Royal Hospital for Sick Children, Dalnair Street, Yorkhill, Glasgow G3 8SJ, UK. jimhuntley@doctors.org.uk.
authors.forename: Jason
authors.initials: J
authors.lastname: Lim
authors.forename: James S
authors.initials: JS
authors.lastname: Huntley