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Case Report

Reconstruction of a Coronoid Using a Radial Head Autograft for Failed ORIF of Monteggia Variant Fracture Dislocation

Kim, Kelvin, BA; Kiser, Casey, MD; Armstrong, April D., MD, FRCSC

Techniques in Shoulder & Elbow Surgery: December 2018 - Volume 19 - Issue 4 - p 187–193
doi: 10.1097/BTE.0000000000000155

The current case report describes a complex Monteggia variant fracture dislocation in which a radial head autograft was used to create a stable construct for a 75% deficient coronoid segment. In this report we will provide details of the reconstruction technique, as well as information with regard to perioperative management, intraoperative findings, postoperative clinical progression, and subsequent postoperative imaging. Restoration of a fractured coronoid in the setting of Monteggia variant fractures is a technically challenging procedure. Our case demonstrates that using a radial head autograft to repair a severely fractured coronoid can lead to a successful outcome for the patient.

Penn State Milton S. Hershey Medical Center, Hershey, PA

The authors declare no conflict of interest.

Reprints: April D. Armstrong, MD, FRCSC, James Bobb Professor of Orthopaedics and Rehabilitation, Penn State Hershey Bone and Joint Institute, 30 Hope Drive, Building B, Suite 2400, Hershey, PA 17033-0850 (e-mail:

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