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| Zoltan Cibula,Maros Hrubina,Jeno Kiss,Marian Melisik,Libor Necas.[J].Chin J Traumatol,2021,24(2):120-124. [doi] |
| Complex open elbow fracture Gustilo-Anderson type IIIB treated with the primary elbow arthroplasty: A case report |
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| DOI： |
| KeyWord: Elbow arthroplastyComplicationsComplex open elbow fracture |
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| Author Name | Affiliation | | Zoltan Cibula | Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Kollarova 2, Martin, 03659, Slovak Republic
University Department of Orthopaedic Surgery, University Hospital Martin, Kollarova 2, Martin, 03659, Slovak Republic | | Maros Hrubina | Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Kollarova 2, Martin, 03659, Slovak Republic
University Department of Orthopaedic Surgery, University Hospital Martin, Kollarova 2, Martin, 03659, Slovak Republic | | Jeno Kiss | Department of Orthopaedic and Traumatologic Surgery, Szent Janos Hospital Budapest, Dios Arok 1-3, Budapest, 1125, Hungary | | Marian Melisik | Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Kollarova 2, Martin, 03659, Slovak Republic
University Department of Orthopaedic Surgery, University Hospital Martin, Kollarova 2, Martin, 03659, Slovak Republic | | Libor Necas | Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Kollarova 2, Martin, 03659, Slovak Republic
University Department of Orthopaedic Surgery, University Hospital Martin, Kollarova 2, Martin, 03659, Slovak Republic |
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| Abstract: |
| 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 ecutaneous 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 pronosupination. Only passive extension is allowed. The ulnar neuropathy is persistent. Patient has no signs of infection or loosening of the prosthesis. |
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