case_images: PMC9091389_01
case_images: (a and b) Initial (a) anteroposterior and (b) lateral radiographs of the left elbow revealing an anterior dislocation of the radial head.
case_images: JOCR-12-41-g001.jpg
case_images: PMC9091389_01_JOCR-12-41-g001.jpg
case_images: F1
case_images: The anteroposterior and lateral radiographs of the left elbow showed an anterior dislocation of the radial head (Fig. 1a and b).
case_images: Drawing indicating annular ligament reconstruction using a synthetic tendon graft and anchor sutures (arrows).
case_images: JOCR-12-41-g002.jpg
case_images: PMC9091389_01_JOCR-12-41-g002.jpg
case_images: F2
case_images: Therefore, annular ligament reconstruction was performed using a synthetic tendon graft and anchor sutures (Fig. 2).
case_images: Post-operative lateral radiograph of the left elbow showing ulnar osteotomy and stabilization of the radial head with a Kirschner wire.
case_images: JOCR-12-41-g003.jpg
case_images: PMC9091389_01_JOCR-12-41-g003.jpg
case_images: F3
case_images: Post-operative radiographs were obtained, showing an adequate radiocapitellar alignment (Fig. 3).
case_images: 2 weeks postoperatively. Lateral radiograph of the left elbow after distraction of the ulnar osteotomy, indicating radiocapitellar alignment.
case_images: JOCR-12-41-g004.jpg
case_images: PMC9091389_01_JOCR-12-41-g004.jpg
case_images: F4
case_images: Bone elongation started 7 days postoperatively at a rate of 1 mm per day, until a distraction of 8 mm was achieved (Fig. 4).
case_images: (a and b) 3 months (a) and 18 months (b) postoperatively. Anteroposterior and lateral radiographs of the left elbow showing healing of the ulnar osteotomy and radiocapitellar alignment.
case_images: JOCR-12-41-g005.jpg
case_images: PMC9091389_01_JOCR-12-41-g005.jpg
case_images: F5
case_images: Union of the ulna was achieved at 3 months after surgery and the external fixator was removed (Fig. 5a). The patient was followed up until 18 moths postoperatively (Fig. 5b).
case_images: (a and b) 18 months postoperatively. The patient is able to perform: (a) Full flexion of his elbow as is indicated by the ability to touch his chin and (b) Almost full extension and 70  supination.
case_images: JOCR-12-41-g006.jpg
case_images: PMC9091389_01_JOCR-12-41-g006.jpg
case_images: F6
case_images: During his final examination, the range of motion of the left elbow improved to: 150  flexion, 80 pronation, 70  supination, and only 10  loss in extension (Fig. 6a and b).