PMC5296839_01
X-ray of the elbow joint anteroposterior and lateral views showing the distal humerus fracture in a 40 years old patient
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F1
Clinical photograph of the elbow showing the swelling, skin discoloration and two surgical scars
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F2
She had one posterior and one lateral surgical scar, joint deformity and a posterolateral soft swelling [Figure 2].
X-ray of the elbow joint anteroposterior and lateral views showing loosening of both components of the Kudo elbow prosthesis after 16 years and one surgical revision. Soft tissue swelling with metal debris
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F3
Radiographs [Figure 3] revealed dislocation and loosening of the implant, surrounded by a slightly radio-opaque mass.
Intraoperative picture showing the pseudotumor mass. The ulnar nerve has been accidentally divided (arrow); the stumps of the nerve have been temporarily put close
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F4
During the isolation of the huge pseudotumoral mass, an oblique division of the ulnar nerve was accidentally produced [Figure 4].
X-ray of the elbow joint anteroposterior and lateral views showing temporary cement spacers
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F5
After implant removal, thorough debridment was performed and temporary spacers (one humeral and one ulnar) were built with tobramycin and vancomycin-loaded cement supported by metal rods [Figure 5].
X-ray of the elbow joint anteroposterior and lateral views at 2 years after revision with Latitude prosthesis showing implant in situ
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F6
At 26 months followup [Figure 6], the elbow was stable with a range of motion from 30  to 130 .