Journal of orthopaedic case reports
September 1, 2026 · via Europe PMC
Management of a Nonunion Type IIC Monteggia Fracture.
Zanganeh K, Madden J.
AI summary — for doctors, generated from the abstract only
A nonunion of a Type IIC Monteggia fracture healed after treatment combining bone allograft, an implantable bone stimulator, and PRP.
What was studied
A case report of a 42-year-old woman with nonunion after ORIF of a Type IIC Monteggia fracture.
Key findings
- Initial ORIF failed to heal
- Treated with bone allograft, implantable stimulator, and PRP injection
- The nonunion healed
Clinical relevance
Describes one approach to Monteggia nonunion; a single case cannot attribute healing to any specific component.
Who should care
Limitations
Single case report; findings cannot be generalized.
A multimodal approach helped heal a stubborn Monteggia nonunion in one patient.
This is an AI-generated summary of the published abstract, not a clinical recommendation. It may not reflect the full text or subsequent updates — verify against the original source before acting on it.
Abstract
Introduction
Monteggia fractures account for <2% of all forearm fractures, with malunion or nonunion occurring in approximately 2-10% of cases.
Case report
A 42-year-old female with no significant past medical history presented to the emergency department after a motor vehicle collision and was diagnosed with a Type IIC Monteggia fracture. She underwent open reduction internal fixation and failed to heal in the allotted time frame. A multifactorial approach to heal the nonunion was utilized and consisted of bone allograft, implantable bone stimulator, and platelet-rich plasma injection. With the help of the allograft, the patient was able to heal.
Discussion
This case illustrates the importance of considering bone allografts in Type IIC fractures to prevent return to the OR in the case of nonunion.
Conclusion
Consideration of bone allograft can prevent unnecessary return to the operating room and guide appropriate treatment.
DOI
10.13107/jocr.2026.v16.i09.8088
PMID
42713381
PMCID
PMC13552147
Research metadata (titles, abstracts, authors, publication dates) is sourced from Europe PMC, which aggregates content from PubMed/MEDLINE, PubMed Central, and other providers under the U.S. National Library of Medicine (NLM/NCBI). NLM does not claim copyright on abstracts; the original journal publishers or authors may hold rights to the full articles. AI-generated summaries are derived only from the abstract, never the full text, and are always labeled as AI-generated.
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