case_images: PMC11723719_01
case_images: Anterior posterior radiograph showing severely comminated proximal humerus fracture
case_images: JOCR-15-31-g001.jpg
case_images: PMC11723719_01_JOCR-15-31-g001.jpg
case_images: F1
case_images: He gave a history of road traffic accident 2 years before in which he had sustained a right-sided severely comminated proximal humerus fracture (Fig. 1) and right-side compound ulna proximal third shaft fracture with olecranon comminated fracture (Fig. 2).
case_images: Anterior posterior radiograph showing improper fixation of the proximal humerus fracture with nails.
case_images: JOCR-15-31-g003.jpg
case_images: PMC11723719_01_JOCR-15-31-g003.jpg
case_images: F3
case_images: He underwent open reduction and fixation for proximal humerus (Fig. 3), olecranon and ulna fracture. 12 months post-surgery the proximal humerus implants were removed and the fracture was malunited (Fig. 4).
case_images: Radiograph showing malunited proximal humerus fracture after nail removal.
case_images: JOCR-15-31-g004.jpg
case_images: PMC11723719_01_JOCR-15-31-g004.jpg
case_images: F4
case_images: He underwent open reduction and fixation for proximal humerus (Fig. 3), olecranon and ulna fracture. 12 months post-surgery the proximal humerus implants were removed and the fracture was malunited (Fig. 4).
case_images: Anterior posterior and lateral radiographs of the elbow showing humeroulnar and radioulnar arthritis with implant in proximal ulna.
case_images: JOCR-15-31-g005.jpg
case_images: PMC11723719_01_JOCR-15-31-g005.jpg
case_images: F5
case_images: His radiographs showed post-traumatic arthritic changes in the right elbow with implants in situ (Fig. 5).
case_images: Clinical picture shows the triceps turn down flap.
case_images: JOCR-15-31-g006.jpg
case_images: PMC11723719_01_JOCR-15-31-g006.jpg
case_images: F6
case_images: Mediolateral subperiosteal dissection was done followed by a triceps turn-down flap (Fig. 6).
case_images: Fascia lata sutured to the prepared ends of proximal ulna and distal humerus.
case_images: JOCR-15-31-g007.jpg
case_images: PMC11723719_01_JOCR-15-31-g007.jpg
case_images: F7
case_images: Fascia lata graft was taken, interposed in between curetted articular ends of the distal humerus and proximal ulna and sutured to the ends (Fig. 7).
case_images: Anterior posterior and lateral post-operative radiograph.
case_images: JOCR-15-31-g008.jpg
case_images: PMC11723719_01_JOCR-15-31-g008.jpg
case_images: F8
case_images: After significant post-operative rehabilitative physiotherapy, he had a good functional and radiographic (Fig. 8) outcome at 1 year follow-up.