{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:39:56Z","timestamp":1787755196582,"version":"build-2784847793"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>The management of a chronic Monteggia with ulna nonunion is complex and sparsely reported. We present a case of a 10-year-old child with a chronic Monteggia fracture and ulna nonunion following elastic nailing, with persistent radial head dislocation. The condition was treated with distraction angulation using an iliac crest autograft, fixed with a prebent dynamic compression plate, and an open reduction of the radial head. The patient achieved excellent functional results at the two-year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case underscores the challenges of using elastic nailing for Monteggia fractures and the effectiveness of distraction angulation with autograft in managing ulna nonunion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00162","type":"journal-article","created":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T18:02:10Z","timestamp":1753380130000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Management of Ulna Nonunion with Radial Head Dislocation in a Formerly Treated Pediatric Monteggia Fracture"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4620-723X","authenticated-orcid":false,"given":"Karthick","family":"Rangasamy","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6207-6889","authenticated-orcid":false,"given":"Ansh","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4227-526X","authenticated-orcid":false,"given":"Akash Kumar","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0208-5653","authenticated-orcid":false,"given":"Nirmal Raj","family":"Gopinathan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pebam","family":"Sudesh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7]]},"reference":[{"issue":"3","key":"bib2-20250724","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1302\/0301-620X.74B3.1587897","article-title":"Treatment of the missed Monteggia fracture in the child","volume":"74","author":"Stoll","year":"1992","journal-title":"J Bone Joint Surg Br."},{"key":"bib3-20250724","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.jor.2021.02.009","article-title":"The management of chronic paediatric Monteggia fracture-dislocation","volume":"24","author":"Gryson","year":"2021","journal-title":"J Orthop."},{"issue":"1","key":"bib4-20250724","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1111\/os.12426","article-title":"External fixator-assisted ulnar osteotomy: a novel technique to treat missed monteggia fracture in children","volume":"11","author":"Wang","year":"2019","journal-title":"Orthop Surg."},{"issue":"12","key":"bib5-20250724","doi-asserted-by":"crossref","first-page":"2519","DOI":"10.1007\/s00264-014-2514-8","article-title":"\u201cSliding angulation osteotomy\u201d: preliminary report of a novel technique of treatment for chronic radial head dislocation following missed Monteggia injuries","volume":"38","author":"Rajasekaran","year":"2014","journal-title":"Int Orthop."},{"issue":"1","key":"bib6-20250724","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1097\/BPO.0000000000000203","article-title":"Chronic anterior monteggia lesions in children: report of 4 cases treated with closed reduction by ulnar osteotomy and external fixation","volume":"35","author":"Bor","year":"2015","journal-title":"J Pediatr Orthop."},{"issue":"9","key":"bib7-20250724","doi-asserted-by":"crossref","first-page":"1322","DOI":"10.2106\/00004623-199609000-00005","article-title":"Chronic Monteggia lesions in children. 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