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[Primary humero-radial arthrodesis]
Summary
A severe cubital region injury in a bus driver required radical wound excision and humero-radial arthrodesis. Successful flap surgery and recovery allowed the patient to return to work within six months.
Area of Science:
- Orthopedic surgery
- Trauma management
Background:
- Severe injuries to the elbow (cubital region) can be complex to treat.
- Contaminated, splintered fractures pose significant challenges for surgical intervention.
Observation:
- A 47-year-old bus driver sustained a severe, contaminated, splintered fracture in the cubital region.
- The injury involved the chondral surfaces, necessitating extensive debridement.
Findings:
- Radical wound excision followed by humero-radial arthrodesis was performed.
- Secondary skin defect closure was achieved using a flap.
- The patient experienced an uneventful recovery.
Implications:
- This case demonstrates a successful surgical approach for severe, contaminated elbow fractures.
- Effective wound management and joint stabilization can lead to functional recovery.
- Patients can return to demanding occupations after such injuries with timely intervention.