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Waste Not, Want Not: A Case of a Terrible Triad Injury of the Elbow Where a Non Salvageable Radial Head Was Used as a Source of Bone Graft for a Contra Lateral Intra-Articular Distal Radius Fracture

Author

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  • SJ Lewis

    (Orthopaedic Department, Prince Charles Hospital, England)

  • Alun Yewlett

    (Orthopaedic Department, Grantham and District Hospital, England)

Abstract

We present a case of a 37 year old male who sustained bilateral upper limb injuries following a mountain biking accident. He sustained a terrible triad injury of the elbow on the left side and an intra-articular distal radius fracture on the right side. The elbow was reduced emergently and placed in a backslab on the day of injury. There was a two week delay before definitive treatment could be carried out. The terrible triad injury was treated with a suture lasso technique to the coronoid fragment, a radial head excision and arthroplasty and a lateral collateral ligament reconstruction. The excised radial head was used as a source of bone graft and used to fill the intra-articular defect on the contra-lateral side in the distal radius using a K wire and plaster immobilisation. Although by no means unique we believe this case highlights an important point to remind surgeons that in multiply injured patients where some of their own bone needs to be excised it can be used as a valuable source of autograft for other injuries.

Suggested Citation

  • SJ Lewis & Alun Yewlett, 2017. "Waste Not, Want Not: A Case of a Terrible Triad Injury of the Elbow Where a Non Salvageable Radial Head Was Used as a Source of Bone Graft for a Contra Lateral Intra-Articular Distal Radius Fracture," Orthopedics and Rheumatology Open Access Journals, Juniper Publishers Inc., vol. 6(1), pages 14-16, April.
    • Handle: RePEc:adp:joroaj:v:6:y:2017:i:1:p:14-16
    DOI: 10.19080/OROAJ.2017.06.555680
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