Elbow Flexion Reconstruction after Traumatic Amputation Using Hinged External Fixator and Muscle Transfer: A Case
Shunsuke Miyaoka1, Hiroshi Yamazaki2, Masanori Hayashi1
1Department of Orthopedic Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Case:
A 40-year-old man sustained a traumatic elbow disarticulation without any fracture, accompanied by severe damage of the biceps and brachialis. After replantation, passive elbow motion was used with a hinged external fixator to facilitate elbow joint reduction and mobility. Eight months after the injury, a functional latissimus dorsi transfer for elbow flexion restoration was performed. Ten years postoperatively, he achieved antigravity elbow flexion and 120° of flexion and -15° extension of the elbow.
Conclusion:
This reconstruction technique was useful for reconstructing elbow flexion after traumatic elbow disarticulation.
Related Concept Videos
Bones of the Upper Limb: Humerus
Bones of the Upper Limb: Ulna
Muscles that Move the Forearm
Forearm Flexors
The biceps brachii, brachialis, and brachioradialis are forearm flexors. The biceps brachii is made up of two heads. Its long head originates at the supraglenoid tubercle of the scapula, whereas that of the short head is...


