Twenty-five consecutive acute Monteggia lesions in children were treated
during a six-year period. The series included a very rare case of a Type-II
Monteggia lesion not previously reported in children. All patients, except
one, were treated by closed reduction. In two instances, after a successful
reduction the unstable radial head was fixed with a percutaneous Kirschner
wire inserted through the capitulum with the elbow flexed 90 degrees. This
was done to avoid immobilizing the elbow in an acutely flexed position. On
follow-up (average, thirty-four months), all the end results were
excellent.