Residual medial instability following lateral surgical stabilisation and radial head replacement
Score and Comment on this Case
Clinical Details
Clinical and radiological findings: Terrible Triad: Surgery after 5 days, coronoid tip fracture and torn MCL left alone, radial head replacement + LCuL suture anchors reinsertion. Intraop fluoro and Postop Plain film XR showed joint congruence. X rays at 20 days demonstrates Humeroulnar subluxation upon active extension around 60deg.
Preoperative Plan
Planning remarks: Pre-op Fluoro: medial opening + drop sign. Therefore, we've decided to go medial to address MCL without revising the LCL repair.
Surgical Discussion
Patient positioning: Supine
Anatomical surgical approach: Medial standard approach into FCU split
Operative remarks:MCL augmentation with Internal Brace.
Intraop Fluoro: No drop sign along the entire arc of movement, medial stability
Orthopaedic implants used: Internal Brace (Arthrex)
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Vincenzo Lorusso
- Italy , Ferrara
- Area of Specialty - General Trauma
- Position - Specialist Consultant
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Article viewed 703 times
13 Apr 2023
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Full Citation
Cite this article:
MD. (2023). Residual medial instability following lateral surgical stabilisation and radial head replacement. Journal of Orthopaedic Surgery and Traumatology. Case Report 12725394 Published Online Apr 13 2023.