![]() The patient's arm was placed into a posterior slab splint, and the patient was allowed to initiate elbow motion at 2 weeks postoperatively. By raising a thick flap, a lateral approach could be used to manage the radial head, with care taken to also repair the lateral collateral ligament. A large, pointed reduction clamp was placed anterior to posterior to prevent displacement during screw and plate placement. ![]() In patients with a comminuted ulnar fracture, such as this patient, the posterior cortex is reconstructed, after which the anterior coronoid fragments are reduced to the posterior cortex. ![]() A posterior approach to the elbow was utilized. The patient was positioned supine with use of a arm holder to facilitate ease of intraoperative fluoroscopy. This video discusses the case presentation of an 81-year-old woman who sustained a mechanical fall onto her left elbow and presented with a grade I open comminuted Monteggia fracture. Proper technique with regard to attaining anatomic ulnar fixation is key to maximizing patient outcomes. The spectrum of Monteggia fractures can range from isolated fractures of the proximal ulna to associated fractures of the coronoid and the radial head and concomitant ulnohumeral dislocation.
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