Arch Hand Microsurg.  2017 Dec;22(4):261-267. 10.12790/ahm.2017.22.4.261.

Reconstruction of an Ulnohumeral Joint in a Young Patient with Iatrogenic Joint Fusion: A Case Report

Affiliations
  • 1Department of Orthopedic Surgery, Eulji Medical Center, Eulji University, Seoul, Korea.
  • 2Department of Orthopedic Surgery, Hanyang University College of Medicine, Seoul, Korea. leegh@hanyang.ac.kr

Abstract

Elbow arthrodesis is a predictable salvage surgery for advanced elbow joint disease. However, iatrogenic joint fusion impaired activity of daily living. In the presented case, a young woman suffered from an iatrogenic joint fusion which developed after several surgeries for comminuted intercondylar fracture of distal humerus. We tried to reconstruct the ulnohumeral joint, as she was too young to have a total elbow arthroplasty. Finally, she regained the motion of elbow and satisfied with the clinical outcome after two consecutive operations. We described the process of recovery and summarized the pearls and pitfalls.

Keyword

Reconstruction; Ulnohumeral joint; Iatrogenic joint fusion

MeSH Terms

Arthrodesis
Arthroplasty
Elbow
Elbow Joint
Female
Humans
Humerus
Joints*

Figure

  • Fig. 1 (A, B) Plain radiographs showed the fused elbow with a retained wire. (C–F) Sagittal and 3-dimensional images of the computed tomography scan showed the bony fusion of ulnohumeral joint.

  • Fig. 2 Inaccurate reduction of articular fragments and inappropriate fixation with 3 K-wires were found after initial operation.

  • Fig. 3 Multiple pinning with K-wires was done through trans-olecranon approach at second operation.

  • Fig. 4 Three Steinmann pins were placed to treat the delayed union and false motion at fracture site.

  • Fig. 5 Plain radiograph showed indistinct and narrow joint space 4 months after reconstruction of ulnohumeral joint.

  • Fig. 6 She regained satisfactory motion of right elbow at final follow-up (A, B) and plain radiograph (C, D) also showed clear space of ulnohumeral joint.


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