title: Management of post-traumatic elbow instability after failed radial head excision: A case report.
abstract: Radial head excision has always been a safe commonly used surgical procedure with a satisfactory clinical outcome for isolated comminuted radial head fractures. However, diagnosis of elbow instability is still very challenging and often underestimated in routine orthopaedic evaluation. We present the case of a 21-years old female treated with excision after radial head fracture, resulting in elbow instability. The patient underwent revision surgery after four weeks. We believe that ligament reconstruction without radial head substitution is a safe alternative choice for Mason III radial head fractures accompanied by complex ligament lesions.
authors.affiliation: Department of Orthopaedics, Aurelia Hospital, Rome, Italy.
authors.forename: Georgios
authors.initials: G
authors.lastname: Touloupakis
authors.affiliation: Department of Orthopaedics, Aurelia Hospital, Rome, Italy. Electronic address: drtheodorakis@gmail.com.
authors.forename: Emmanouil
authors.initials: E
authors.lastname: Theodorakis
authors.affiliation: Department of Orthopaedics, Aurelia Hospital, Rome, Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Favetti
authors.affiliation: Department of Orthopaedics, Aurelia Hospital, Rome, Italy.
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Nannerini
mesh_terms: D000328:Adult; D005260:Female; D005592:Fracture Fixation; D006801:Humans; D007593:Joint Instability / Q000628:therapy*; D017844:Lateral Ligament, Ankle / Q000601:surgery; D011885:Radius Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D000092464:Elbow Injuries
keywords: Elbow instability; Elbow prosthesis; Joint instability; Radial head excision