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Salini V., De Amicis D., Natale M. A., Orso C. A.
Dipartimento di Ortopedia e Traumatologia Università “G. D’Annunzio” Chieti, Italia
Monteggia fracture-dislocation is a complex injury of the superior arm, both because it usually interests growing individuals with difficulties in the choice of treatment and because its frequent complications in the elbow articulation. Chronic anterior dislocation of the radial head is a frequent complication after a Monteggia’s fracture. The present study descri-bes a 20-year-old boy who previously had a Monteggia fracture-dislocation treated with Kirshner wire ostheosynthesis. He underwent surgery 20 days after plaster-cast removal, because of irreducible radial head dislocation. An open reduction and a reconstruction of the anular ligament was performed using the Mitek suture anchor Spiralok and an Orthocord wire. The patient was radiographically and clinically investigated three and six months after surgery, with good results, even if a longer follow-up is advisable to judge objectively the results. Suture anchors are good devices, largely accepted in arthroscopic surgery. This versatile device is really useful to solve problems also in osteoarticular traumatology treated in an open manner, and many other applications of suture anchors could be discovered in the future.