Reconstruction of the coronoid process with iliac crest bone graft in complex fracture-dislocation of elbow.
A 36-year-old man sustained posterior dislocation of left elbow joint with olecranon fracture, comminuted coronoid fracture and subluxation of proximal radioulnar joint. We reconstructed the coronoid process with autogenous iliac crest bone graft and reduced the olecranon fracture with internal fixation. In addition, we also repaired the medial collateral ligament, annular ligament and anterior capsule during the operation. He received immobilization of the left elbow for 3 weeks after surgery and started range of motion exercises. The radiographic bone union was found 2 months after operation. The range of motion of the elbow was full at 12 months after operation. The latest 2-year follow-up, the functional result of the elbow was excellent.
Chung
Chen-Han
CH
Department of Orthopedic Surgery, Kaohsiung Military General Hospital, Kaohsiung, Taiwan, R O C.
Wang
Shyu-Jye
SJ
Chang
Yin-Chieh
YC
Wu
Shing-Sheng
SS
D000328:Adult; D016025:Bone Transplantation / Q000379:methods; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000637:transplantation*; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011859:Radiography; D014458:Ulna Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D000092464:Elbow Injuries