Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Nov 18, 2021; 12(11): 954-960
Published online Nov 18, 2021. doi: 10.5312/wjo.v12.i11.954
Management of acute length-unstable Monteggia fractures in children: A case report
Francesco Roberto Evola, Giovanni Francesco Di Fede, Santo Bonanno, Giuseppe Evola, Maria Elena Cucuzza
Francesco Roberto Evola, Department of Surgery, Division of Orthopedics and Trauma Surgery, “Cannizzaro” Hospital, Catania 95100, Italy
Giovanni Francesco Di Fede, Radiodiagnostics Department, Division of Radiology, “S. Marta and S. Venera” Hospital, Acireale 95024, Italy
Santo Bonanno, Emergency Department, Division of First Aid, “Garibaldi” Hospital, catania 95124, Catania, Italy
Giuseppe Evola, General and Emergency Surgery Department, Division of Surgery, “Garibaldi” Hospital, Catania, Italy, Catania 95124, Italy
Maria Elena Cucuzza, Maternity-Childhood Department, Division of Paediatrics, “Cannizzaro” Hospital, Catania 95124, Italy
Author contributions: Evola FR and Di Fede GF reviewed the literature and contributed to conception and design of the study; Evola FR, Bonanno S and Evola G contributed to the drafting the article and to making critical revisions related to important intellectual content of the manuscript; Evola FR and Cucuzza ME revised the manuscript and approved the final version of the article.
Informed consent statement: The informed consent statement has been sent previously.
Conflict-of-interest statement: The authors declare that they have no conflict of interest and financial relationships for the realization of this work.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Francesco Roberto Evola, MD, PhD, Doctor, Department of Surgery, Division of Orthopedics and Trauma Surgery, “Cannizzaro” Hospital, Via Messina 829, Catania 95100, Italy. robertoevola@virgilio.it
Received: July 5, 2021
Peer-review started: July 5, 2021
First decision: July 28, 2021
Revised: August 30, 2021
Accepted: September 27, 2021
Article in press: September 27, 2021
Published online: November 18, 2021
Processing time: 134 Days and 3.6 Hours
Core Tip

Core Tip: Treatment algorithms assert that acute length-stable Monteggia fractures are treated with an intramedullary device, while acute length-unstable fractures are treated with plates. Intramedullary devices have the advantage of smaller skin incisions, less soft tissue disruption, shorter operative times and easier device removal. Plates allow more anatomical restoration of the ulnar fracture and the radial bow, although they can cause delayed union due to blood circulation disruption around the fracture. Intramedullary wires can be used for the treatment of acute length-unstable Monteggia fractures instead of plates as these are associated with excellent results and fewer complications.