Combining Cylindrical Bone Graft and Headless Screw Fixation for Nonunion of the Medial Trochlea of the Elbow: A Case Report. Issue 2 (18th April 2022)

• Record Type: Journal Article
• Authors: Uno, Tomohiro; Honma, Ryusuke; Takahara, Masatoshi; Satake, Hiroshi; Oishi, Ryuta; Maruyama, Masahiro; Takagi, Michiaki
• Is Part Of: JBJS case connector. Volume 12:Issue 2(2022)
• Publication Date: 2022-04-18
• Subjects: adolescent -- extra-articular technique -- nonunion -- fracture -- elbow -- trochlea -- bone grafting -- cylindrical -- screw; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.22.00096
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A 19-year-old handballer presented with elbow pain and nonunion of the medial trochlea of the elbow. He had undergone earlier surgery for an elbow injury at 6 years of age. Revision surgery for nonunion was performed using an extra-articular method combining cylindrical bone graft and headless screw fixation. Partial union was observed, and he resumed sports after 3 months, with his limb largely pain-free and functional. At the 21-month follow-up, bone healing was complete. Conclusions: Combining cylindrical bone graft and headless screw fixation using the extra-articular technique is an option for managing nonunion of the medial trochlea of the elbow.