case_images: PMC5937584_01
case_images: Peroperative situation. Posterior arthrotomy (a); marking and preservation of the ulnar nerve (yellow loop) (b); debridement of the ulnohumeral joint (c, d); good cartilage quality on the radial head (d); debrided ulnohumeral joint (e); interposition arthroplasty with sutured fascia lata graft, like a waterfall (f).
case_images: CRIOR2018-8253732.001.jpg
case_images: PMC5937584_01_CRIOR2018-8253732.001.jpg
case_images: fig1
case_images: The patient underwent Grika interposition arthroplasty (see surgical technique paragraph and Figure 1) followed by a suitable rehabilitation protocol (see Rehabilitation Protocol and Figure 2).
case_images: Postoperative situation. Postoperative radiographs after Grika interposition arthroplasty with hinged external fixator (a, b); active and passive motion during hospitalization (c-f).
case_images: CRIOR2018-8253732.002.jpg
case_images: PMC5937584_01_CRIOR2018-8253732.002.jpg
case_images: fig2
case_images: The patient underwent Grika interposition arthroplasty (see surgical technique paragraph and Figure 1) followed by a suitable rehabilitation protocol (see Rehabilitation Protocol and Figure 2).
case_images: Direct postoperative radiograph showing the insufficient fracture fixation after previous surgery (a); the skin showing the scar following previous surgery (b); radiographs showing distal humeral malunion and generalized elbow joint osteoarthritis (c, d).
case_images: CRIOR2018-8253732.003.jpg
case_images: PMC5937584_01_CRIOR2018-8253732.003.jpg
case_images: fig3
case_images: He had malunion of the distal humerus of his dominant arm (Figure 3), accompanied with elbow stiffness (Figure 4), and evident signs of osteoarthritis were seen on radiographs (Figures 3(c) and 3(d)).
case_images: Preoperative situation and active elbow range of motion. Maximum of 80 degrees of flexion (a); no possibility of extension (b); sufficient pronation and supination (c, d).
case_images: CRIOR2018-8253732.004.jpg
case_images: PMC5937584_01_CRIOR2018-8253732.004.jpg
case_images: fig4
case_images: He had malunion of the distal humerus of his dominant arm (Figure 3), accompanied with elbow stiffness (Figure 4), and evident signs of osteoarthritis were seen on radiographs (Figures 3(c) and 3(d)).
case_images: Final postoperateive situation at 5 years of follow-up (a-d). Valgus axial deviation (e, f).
case_images: CRIOR2018-8253732.005.jpg
case_images: PMC5937584_01_CRIOR2018-8253732.005.jpg
case_images: fig5
case_images: Functional outcomes are shown in Figure 5.