Management of a Nonunion Type IIC Monteggia Fracture.

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.