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Complex Case of Open Fracture-Dislocation of the Elbow
Complex elbow instability is difficult to surgically address. Careful consideration of the fractures and soft tissue injuries is required. We present the case of a patient who sustained an open fracture-dislocation of the elbow with significant loss of the external humeral condyle and partial loss o...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6535853/ https://www.ncbi.nlm.nih.gov/pubmed/31214371 http://dx.doi.org/10.1155/2019/3495742 |
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author | Primeau, Tommy Beauchamp-Chalifour, Philippe Pelet, Stéphane |
author_facet | Primeau, Tommy Beauchamp-Chalifour, Philippe Pelet, Stéphane |
author_sort | Primeau, Tommy |
collection | PubMed |
description | Complex elbow instability is difficult to surgically address. Careful consideration of the fractures and soft tissue injuries is required. We present the case of a patient who sustained an open fracture-dislocation of the elbow with significant loss of the external humeral condyle and partial loss of the olecranon. He was surgically treated with an iliac crest tricortical autograft fixed with a buttress plate and a lag screw. His lateral ulnar collateral ligament was reconstructed with tendinous autograft collected from his third and fourth extensor digitorum longus tendons. While the procedure complicated with a Nocardia infection and wound breakdown, the patient almost had full range of motion without instability at 11 months of follow-up. |
format | Online Article Text |
id | pubmed-6535853 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-65358532019-06-18 Complex Case of Open Fracture-Dislocation of the Elbow Primeau, Tommy Beauchamp-Chalifour, Philippe Pelet, Stéphane Case Rep Orthop Case Report Complex elbow instability is difficult to surgically address. Careful consideration of the fractures and soft tissue injuries is required. We present the case of a patient who sustained an open fracture-dislocation of the elbow with significant loss of the external humeral condyle and partial loss of the olecranon. He was surgically treated with an iliac crest tricortical autograft fixed with a buttress plate and a lag screw. His lateral ulnar collateral ligament was reconstructed with tendinous autograft collected from his third and fourth extensor digitorum longus tendons. While the procedure complicated with a Nocardia infection and wound breakdown, the patient almost had full range of motion without instability at 11 months of follow-up. Hindawi 2019-05-13 /pmc/articles/PMC6535853/ /pubmed/31214371 http://dx.doi.org/10.1155/2019/3495742 Text en Copyright © 2019 Tommy Primeau et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Primeau, Tommy Beauchamp-Chalifour, Philippe Pelet, Stéphane Complex Case of Open Fracture-Dislocation of the Elbow |
title | Complex Case of Open Fracture-Dislocation of the Elbow |
title_full | Complex Case of Open Fracture-Dislocation of the Elbow |
title_fullStr | Complex Case of Open Fracture-Dislocation of the Elbow |
title_full_unstemmed | Complex Case of Open Fracture-Dislocation of the Elbow |
title_short | Complex Case of Open Fracture-Dislocation of the Elbow |
title_sort | complex case of open fracture-dislocation of the elbow |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6535853/ https://www.ncbi.nlm.nih.gov/pubmed/31214371 http://dx.doi.org/10.1155/2019/3495742 |
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