Complex Case of Open Fracture-Dislocation of the Elbow

Author:

Primeau Tommy12,Beauchamp-Chalifour Philippe12ORCID,Pelet Stéphane12ORCID

Affiliation:

1. Centre de Recherche FRQS du CHU de Québec—Hôpital Enfant-Jésus, 1401, 18ème Rue, (Québec), Québec, Canada G1J 1Z4

2. Department of Orthopedic Surgery, CHU de Québec—Hôpital Enfant-Jésus, 1401, 18ème Rue, (Québec), Québec, Canada G1J 1Z4

Abstract

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.

Publisher

Hindawi Limited

Subject

General Earth and Planetary Sciences,General Environmental Science

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