Sculpting Solutions: 3D-Printed Models Transform Osteotomy Planning in Monteggia Fractures
Introduction: A neglected Monteggia fracture refers to a proximal ulna fracture accompanied by a dislocated radial head that remains untreated for a duration exceeding 4 weeks following the initial injury. We present the case of a complex neglected Monteggia fracture and its unique pre-operative app...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Indian Orthopaedic Research Group
2025-06-01
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| Series: | Journal of Orthopaedic Case Reports |
| Subjects: | |
| Online Access: | https://jocr.co.in/wp/2025/06/01/sculpting-solutions-3d-printed-models-transform-osteotomy-planning-in-monteggia-fractures/ |
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| Summary: | Introduction:
A neglected Monteggia fracture refers to a proximal ulna fracture accompanied by a dislocated radial head that remains untreated for a duration exceeding 4 weeks following the initial injury. We present the case of a complex neglected Monteggia fracture and its unique pre-operative approach for radial head osteotomy using 3D-printed models.
Case Report:
An 8-year-old girl presented with a delayed diagnosis of a Monteggia fracture, which had become increasingly complex due to late intervention and prior inadequate management. We discuss the clinical presentation, radiological features, differential diagnosis, treatment options, and long-term outcomes using a unique pre-operative approach.
Conclusion:
3D printing has been used around the world in orthopaedics for a myriad of fractures but we present the novel technique used in this case of a neglected Monteggia fracture which gave us access to tactile feedback of the radial head deformity with its relation to the ulnar and the capitellum which served as a blueprint in planning the osteotomy/reconstruction procedure thus improving our accuracy, efficiency intraoperatively and better overall patient outcome post-operatively. |
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| ISSN: | 2250-0685 2321-3817 |