Kawoosa et al. Journal of Medical Case Reports 2010, 4:344 http://www.jmedicalcasereports.com/content/4/1/344 Page 5 of 6 Figure 8 Radiograph taken at the final follow-up visit showing relocation of the radial head (Patient 2). The advantages of distraction treatment can be sum- marized as: minimally invasive surgery, controlled lengthening, no radiocapitellar intervention, no need for bone grafting, and early resumption of functional exer- cises. The only difficulty encountered during the process Figure 9 Supination at elbow. Figure 10 Pronation at elbow. of correction in our patients was the radiologic interpre- tation of the relocation of the radial head, because of the superimposing proximal steel ring; however, this problem can be easily managed by the use of carbon fiber radiolucent rings. Conclusion Use of ulnar osteotomy with distraction lengthening and hyperangulation in several planes with the Ilizarov tech- nique could be an effective method of treating neglected Monteggia fracture dislocations. Consent Written informed consent was obtained from the par- ents of both the patients for publication of this case report and accompanying images. A copy of the written consent is available for the review by the Editor in Chief of this journal. Acknowledgements The authors declare that no funding was obtained for the writing and submission of the manuscript. Authors’ contributions AAK was responsible for the concept, planning, surgery and manuscript preparation. The rest of the authors contributed in preparation of the manuscript. All authors have read and approved the final manuscript. Competing interests All authors confirm that there are no conflicts of interests, including financial and personal relationships with other people, or organizations, that could inappropriately influence (bias) their work. Received: 19 September 2009 Accepted: 26 October 2010 Published: 26 October 2010 References 1. Monteggia GB: Instituzioni Chirurgiche Milan, Maspero; 1814.