TechniquesTransolecranon Exposure of Monteggia Variant Fracture-dislocations of the ElbowColliton, Eileen MD*; Leung, Nicky MD†Author Information *Department of Orthopaedic Surgery, Tufts Medical Center, Boston †Division of Hand and Upper Extremity Surgery, Newton-Wellesley Hospital, Newton, MA Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding. Address correspondence and reprint requests to Eileen Colliton, MD, Department of Orthopaedic Surgery, Tufts Medical Center, 800 Washington Street, TMC Box #306, Boston, MA 02111. E-mail: [email protected]. Techniques in Hand & Upper Extremity Surgery: June 2021 - Volume 25 - Issue 2 - p 111-115 doi: 10.1097/BTH.0000000000000307 Buy Metrics Abstract Posterior Monteggia fracture-dislocations are uncommon injuries that can result from a fall onto an outstretched hand. Often, these injuries are associated with coronoid and/or radial head fractures. When this is the case, direct fixation can require 3 separate fascial incisions: posterior to address the proximal ulnar fracture, lateral to address the radial head fracture, and medial to address the coronoid fracture. We illustrate a transolecranon surgical approach for fixation of a type IIA posterior Monteggia fracture-dislocation with associated radial head and coronoid fractures. In this approach, the 3 associated fractures can be addressed through a single posterior incision, thereby minimizing soft tissue disruption around the elbow. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.