Reparation of radial head chronic fracture-dislocation of ulnar joint using bone autografts

Authors

  • Ievgen Matelenok

DOI:

https://doi.org/10.15674/0030-59872016434-39

Keywords:

elbow, ironic fracture-dislocation, radial head bone defect, autograft

Abstract

In the treatment of chronic elbow fracture-dislocation impor­tant factor in restoring joint function is the reconstruction of damaged bone formation.

Objective:to evaluate the use of autograft for the radial hard bone defects in the case of chronic elbow fracture-dislocation.

Methods:we observed three pa­tients with chronic elbow fracture-dislocation with terms of 1 to4 months after the injury. Two patients in the acute period after injury in other hospital underwent forearm dislocation, re­moval of damaged radial head bone and repositional osteosyn­thesis of proximal ulnar metaphysis and coronoid processus. Be­cause of imperfect surgery, including removal of the radial head bone, lack of proper follow-up, chronic elbow fracture-disloca­tions formed. We performed: fracture reosteosynthesis of the proximal ulnar metaphysis, radial head bone autoplasy using the iliac crest, direction of the forearm, external fixation devices installed. In the third patient during the initial treatment head fracture of the left radius without dislocation of forearm diag­nosed. During immobilization treatment, dislocated forearm di­agnosed only after 3 weeks. In this case, we provided the defect substitution with iliac crest transplants for radial head defect substitution (up to 45 % of its value) dislocation reduced and ex­ternal device installed for 3 weeks.

Results: we didn’t diagnosed recurrent forearm fracture-dislocation after 1–2.5 years follow-up. Radiography determined fusion of maternal bone grafts, joint space was clearly visualized. Limb function restored.

References

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How to Cite

Matelenok, I. (2017). Reparation of radial head chronic fracture-dislocation of ulnar joint using bone autografts. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (4), 34–39. https://doi.org/10.15674/0030-59872016434-39

Issue

No. 4 (2016)

Section

ORIGINAL ARTICLES

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Copyright (c) 2017 Ievgen Matelenok

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