Elbow Flexion Reconstruction after Traumatic Amputation Using Hinged External Fixator and Muscle Transfer: A Case...

Area of Science:

• Orthopedic Surgery
• Reconstructive Surgery
• Traumatology

Background:

• Traumatic elbow disarticulation presents a significant reconstructive challenge.
• Restoration of elbow flexion is crucial for upper extremity function.

Purpose of the Study:

• To present a case of elbow flexion reconstruction following traumatic elbow disarticulation.
• To evaluate the long-term functional outcomes of latissimus dorsi transfer for elbow flexion restoration.

Main Methods:

• A 40-year-old male patient underwent replantation for traumatic elbow disarticulation with severe muscle damage.
• A hinged external fixator was used for joint reduction and mobility post-replantation.
• A latissimus dorsi transfer was performed eight months after the initial injury to restore elbow flexion.

Main Results:

• The patient achieved antigravity elbow flexion ten years after the latissimus dorsi transfer.
• A final range of motion included 120° of flexion and -15° of extension.
• The reconstruction technique provided durable functional recovery.

Conclusions:

• Latissimus dorsi transfer is an effective method for reconstructing elbow flexion after traumatic elbow disarticulation.
• This surgical technique offers a viable solution for complex elbow injuries.