OLD INFECTED ELBOW FRACTURE
CHERRY KOVOOR
Dear All
42 yr old male
Road accident april 2010- treated by ORIF internal fixation elsewhere- infection occurred.
went to another hospital- the implants removed debrided and then after wound was clean Re –ORIF and bone grafting.
Pt was on follow up at that hospital till they told him it needs another surgery after which elbow may become stiff
Pt is clerk by profession and can do his activities of daily living without much of problems
Clinical examination: No tenderness – almost full ROM
15 deg varus- valgus instability
X-rays- show a gap in distal one third humerus and on flexion and extension of the elbow it s the distal fragment which moves.
Elbow seems ankylosed from what can be seen on x-rays
Pt is quite asymptomatic
Should anything be done? If I get a union with whatever technique pt is going to be really unhappy as his elbow may become quite stiff.
I have told him for the time being no active treatment- if the implant fails later and is symptomatic then fix the elbow which in effect will arthrodesing the joint
Attaching clin pics and x-rays
Inviting suggestions and opinions
With Kind regards
DR C CHEIRYAN KOVOOR
KOCHI
INDIA
tarek...@yahoo.com
Sent from my HTC
----- Reply message -----
From: "CHERRY KOVOOR" <kovo...@gmail.com>
To: <indi...@googlegroups.com>, "ORTHOPOD" <orth...@googlegroups.com>
Subject: [Orthopod] OLD INFECTED ELBOW FRACTURE
Date: Mon, Jan 23, 2012 8:23 am
Dear All
42 yr old male
Road accident april 2010- treated by ORIF internal fixation elsewhere-
infection occurred.
went to another hospital- the implants removed debrided and then after
wound was clean Re –ORIF and bone grafting.
Pt was on follow up at that hospital till they told him it needs another
surgery after which elbow may become stiff
without much of problems*
*Clinical examination: * No tenderness – almost full ROM
15 deg varus- valgus instability
X-rays- show a gap in distal one third humerus and on flexion and extension
of the elbow it s the distal fragment which moves.
Elbow seems ankylosed from what can be seen on x-rays
Pt is quite asymptomatic
Should anything be done? If I get a union with whatever technique pt is
going to be really unhappy as his elbow may become quite stiff.
I have told him for the time being no active treatment- if the implant
fails later and is symptomatic then fix the elbow which in effect will
arthrodesing the joint
Attaching clin pics and x-rays
Inviting suggestions and opinions
With Kind regards
DR C CHEIRYAN KOVOOR
KOCHI
INDIA
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Gaurav Bhalla
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Orthopaedic surgeon and traumatologist
++91-9935693677; ++91-9415406331
From: "tarek...@yahoo.com" <tarek...@yahoo.com>
To: "orth...@googlegroups.com" <orth...@googlegroups.com>
Sent: Monday, 23 January 2012, 13:33
Subject: Re: [Orthopod] OLD INFECTED ELBOW FRACTURE
Dr.Vishwanath Iyer
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Dr Vishwanath M Iyer
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