PMC9218910_01
Radiographs of the elbow after arthrodesis.
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Four years after elbow fusion (Figure 1), he was not satisfied with his elbow function and presented to the senior author (T.G.S.) to address this.
Intraoperative photographs. (A) Ulnar nerve dissected from scar tissue and protected. (B) Triceps splitting approach and plate removal. (C) Corrective ulnar osteotomy to accommodate prosthesis. (D) Humeral bone preparation and trial implant.
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The ulnar nerve is identified proximally and a careful neurolysis was performed to protect and later transpose the nerve (Figure 2).
Immediate postoperative radiographs after conversion to total elbow arthroplasty.
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Immediate postoperative radiographs are shown in Figure 3.
Clinical photographs demonstrating active elbow range of motion 3 months postoperatively.
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At 3 month follow up, the patient had achieved 5 to 105 degrees of active flexion (Figure 4).
Radiographs of the elbow 8 months postoperatively showing healed ulnar osteotomy and heterotopic ossification formation.
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Supination was limited to 5 degrees due to development of heterotopic ossification (HO) at the ulnar osteotomy site (Figure 5).