PMC5458709_01
Pre-op clinical picture 1.
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F1
On clinical examination, his elbow was in 20  flexed attitude, forearm in supination and a hollow depression present on posterior aspect of forearm (Fig. 1), with loss of olecranon prominence.
Pre-op clinical picture 2.
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F2
The left upper limb was swollen with blisters over the forearm region (Fig. 2).
Pre-op xrays antero-posterior and lateral views.
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F3
Plain radiography showed anterior dislocation of the elbow (Fig. 3).
Post reduction Xrays antero-posterior and lateral views.
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F4
The postreduction radiograph (Fig. 4) and computed tomography (Fig. 5) showed congruent reduction.
Intraoperative photograph shows a complete tear of brachial artery.
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F6
Intraoperatively, the brachial artery was found to be lacerated (Fig. 6).
Procedure completed with fasciotomy of forearm.
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F7
In addition, a prophylactic fasciotomy (Fig. 7) of the forearm was done.
Post-operative immobilization.
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F8
Limb was immobilized (Fig. 8) for 3 weeks and active mobilization started thereafter.
3 months follow-up.
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F9
The elbow range of movement was from 0  to 100  (Fig. 9 and 10).
3 months follow-up.
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F10
The elbow range of movement was from 0  to 100  (Fig. 9 and 10).