Complex open elbow fracture Gustilo-Anderson type IIIB treated with the primary elbow arthroplasty: A case report
Autor: | Jeno Kiss, M. Hrubina, Libor Necas, M. Melišík, Zoltan Cibula |
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Rok vydání: | 2021 |
Předmět: |
musculoskeletal diseases
medicine.medical_specialty Complications medicine.medical_treatment Olecranon Elbow arthroplasty Elbow Case Report Ulnar neuropathy Condyle 03 medical and health sciences External fixation 0302 clinical medicine Forearm medicine Orthopedics and Sports Medicine Ulnar nerve lcsh:R5-920 030222 orthopedics Elbow fracture business.industry 030208 emergency & critical care medicine musculoskeletal system medicine.disease Complex open elbow fracture Surgery body regions medicine.anatomical_structure lcsh:Medicine (General) business |
Zdroj: | Chinese Journal of Traumatology Chinese Journal of Traumatology, Vol 24, Iss 2, Pp 120-124 (2021) |
ISSN: | 1008-1275 |
DOI: | 10.1016/j.cjtee.2020.12.003 |
Popis: | Total elbow arthroplasty as a treatment option for open elbow fracture is relatively rare described. We reported a 39 years old polytrauma patient with complex open elbow fracture (Gustilo-Anderson type IIIB). The patient presented with large soft tissues defect on dorsal part of the left elbow, ulnar palsy due to the irreparable loss of the ulnar nerve, distal triceps loss due to the complete loss of the olecranon, loss of both humeral condyles with collateral ligaments and complex elbow instability. Only few similar cases have been published. Reconstructive surgery included repetitive radical debridement, irrigation, vacuum assisted closure system therapy, external fixation, coverage of the soft tissue defect with fascia–cutaneous flap from the forearm. Four months after the injury, total elbow arthroplasty with autologous bone graft (from the proximal radius) inserted in the ulnar component, was performed. At 3 years postoperatively, the patient is able to perform an active flexion from 0° to 110° with full prono-supination. Only passive extension is allowed. The ulnar neuropathy is persistent. Patient has no signs of infection or loosening of the prosthesis. |
Databáze: | OpenAIRE |
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