The posterior elbow Monteggia lesion, with associated instability of the elbow

Transolecranon elbow fracture dislocations, or posterior Monteggia elbow lesions are difficult injuries to treat. The following case illustrates the complexity in the fixation of a fracture that was 4 weeks old. The dual plating is necessary to reconstruct the ulna in those occasions. In addition, the fixation of the anteromedial facet of the coronoid is crucial to the stability of the elbow. In this case it was fixed with lag screws through the plate. About 2 years after surgery the patient had near complete ROM in all planes, however removal of the olecranon plate was necessary as the plate was painful.