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...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2019/3495742 |
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| _version_ | 1832545363886604288 |
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| author | Tommy Primeau Philippe Beauchamp-Chalifour Stéphane Pelet |
| author_facet | Tommy Primeau Philippe Beauchamp-Chalifour Stéphane Pelet |
| author_sort | Tommy Primeau |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-47c91aac07b54bcd9abaa84e25dc5760 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-47c91aac07b54bcd9abaa84e25dc57602025-02-03T07:26:05ZengWileyCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/34957423495742Complex Case of Open Fracture-Dislocation of the ElbowTommy Primeau0Philippe Beauchamp-Chalifour1Stéphane Pelet2Centre de Recherche FRQS du CHU de Québec—Hôpital Enfant-Jésus, 1401, 18ème Rue, (Québec), Québec, G1J 1Z4, CanadaCentre de Recherche FRQS du CHU de Québec—Hôpital Enfant-Jésus, 1401, 18ème Rue, (Québec), Québec, G1J 1Z4, CanadaCentre de Recherche FRQS du CHU de Québec—Hôpital Enfant-Jésus, 1401, 18ème Rue, (Québec), Québec, G1J 1Z4, CanadaComplex 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.http://dx.doi.org/10.1155/2019/3495742 |
| spellingShingle | Tommy Primeau Philippe Beauchamp-Chalifour Stéphane Pelet Complex Case of Open Fracture-Dislocation of the Elbow Case Reports in Orthopedics |
| 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 |
| url | http://dx.doi.org/10.1155/2019/3495742 |
| work_keys_str_mv | AT tommyprimeau complexcaseofopenfracturedislocationoftheelbow AT philippebeauchampchalifour complexcaseofopenfracturedislocationoftheelbow AT stephanepelet complexcaseofopenfracturedislocationoftheelbow |