One-stage elbow interposition arthroplasty with a fasciocutaneous distally planned lateral arm flap.


Published online: Oct 27 2002

Vancabeke M, Lamraski G, Berthe JV, Coessens BC.

Department of Orthopedic Surgery, Brugmann University Hospital, Place Van Gehuchten 4, 1020 Brussels, Belgium.

Abstract

We report a case of severe posttraumatic ankylosis of the elbow with chronic osteomyelitis of the lateral condyle of the humerus. The triple problem of restoring elbow mobility, providing for coverage, and controlling infection was treated in a one-stage procedure. A distally planned fasciocutaneous lateral arm flap was used for elbow interposition arthroplasty. Clinical examination at 27 months showed restoration of a useful range of elbow motion and good pain relief.