Multiple Cantilever K-wiring Technique for Severely Comminuted Articular Fragments in Neglected Distal Humerus Fracture with Anterior Elbow Dislocation: A Case Report.

Autor:	Dhar S; Department of Orthopaedics, Dr. D. Y. Patil Medical College and Hospital, Navi Mumbai, Maharashtra, India., Kale SY; Department of Orthopaedics, Dr. D. Y. Patil Medical College and Hospital, Navi Mumbai, Maharashtra, India., Singh S; Department of Orthopaedics, Dr. D. Y. Patil Medical College and Hospital, Navi Mumbai, Maharashtra, India., Gunjotikar AR; Department of Orthopaedics, Dr. D. Y. Patil Medical College and Hospital, Navi Mumbai, Maharashtra, India., Koli V; Department of Orthopaedics, Dr. D. Y. Patil Medical College and Hospital, Navi Mumbai, Maharashtra, India., Sharma S; Department of Orthopaedics, Dr. D. Y. Patil Medical College and Hospital, Navi Mumbai, Maharashtra, India.
Jazyk:	angličtina
Zdroj:	Journal of orthopaedic case reports [J Orthop Case Rep] 2022 Jan; Vol. 12 (1), pp. 22-25.
DOI:	10.13107/jocr.2022.v12.i01.2600
Abstrakt:	Introduction: Anterior dislocation of the elbow is comparatively less frequent and is often associated with fractures of the distal humerus. Such injuries require surgical intervention at the earliest but with the surge of COVID-19 pandemic and different protocols being followed by surgeons, such cases are getting neglected. We present a 5-week-old neglected anterior dislocation of the right elbow joint with lateral condyle and medial epicondyle humerus fracture and a unique cantilever K-wiring technique used for its treatment. Case Presentation: A 30-year-old man presented with pain, deformity, and limited range of movement of his right elbow joint and a non-healing wound over the olecranon after he had a road traffic accident 5 weeks back. The patient had been initially treated in a local hospital where he tested positive for COVID-19 and was managed conservatively. Radiographs revealed lateral condyle and medial epicondyle humerus fracture and an unreduced anterior dislocation of the right elbow joint. Conclusion: Neglected fracture-dislocation of the elbow is challenging and is further complicated by comminuted fragments with loss of bone stock. A unique use of multiple Kirschner wires in a cantilever fashion provides a good fixation alternative for such cases. Competing Interests: Conflict of Interest: Nil (Copyright: © Indian Orthopaedic Research Group.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu