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Composite Vascularized Autograft Elbow Transplant: A Case Report
Neil Pathak1, Eric E Sides2, Samantha L Piper3
1Department of Orthopaedics and Rehabilitation, Yale University, New Haven, Connecticut.
JBJS Case Connector
|July 28, 2021
Summary
This case study details the first composite vascularized autograft elbow transplant in a patient with a absent right elbow joint. The innovative procedure restored function, enabling independent daily living.
Area of Science:
- Orthopedic surgery
- Reconstructive surgery
- Transplant surgery
Background:
- A 37-year-old male patient experienced right elbow joint absence due to trauma, ankylosis, and subsequent infection after total elbow arthroplasty (TEA) explantation.
- The patient had a contralateral complete brachial plexus injury, but a functional right hand/wrist and an intact left elbow joint.
Observation:
- A composite vascularized autograft elbow transplant was performed, utilizing the contralateral left upper extremity for the graft.
- This reconstructive approach addressed the complex challenge of a missing elbow joint in the presence of other significant upper extremity injuries.
Findings:
- The patient underwent a novel composite vascularized autograft elbow transplant.
- Postoperatively, the patient demonstrated successful functional recovery, regaining independence in activities of daily living.
Implications:
- This case represents the first reported instance of a composite vascularized autograft elbow transplant.
- The study highlights the potential of adapting standard surgical techniques for complex reconstructive challenges in limb salvage and functional restoration.
