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Eight cases of malunited Monteggia fracture dislocation in children were seen during 6 years, treated by open reduction of the radial head and its stabilization using a transarticular âKâ wire fixation to the capitulum. An ulnar osteotomy to undo its malalignment was found to be mandatory and was routinely performed at the same sitting as an adjunct to the open reduction. The overall end result was found to be very encouraging. Elbow in 7 children became almost normal. However, the deformity recurred in the only case whose radial head was not fixed internally. The reconstruction of the annular ligament was considered to be unnecessary for the long term stability of the radial head.