A Case Report: Interposition Arthroplasty for Post-traumatic Elbow Arthritis.

Abstract

Introduction: Post-traumatic arthritis of elbow is a crippling condition that frequently develops after a serious joint injury. The condition is characterized by pain, rigidity, and diminished functionality, considerably affecting the quality of life of those impacted. Despite advancements in surgical and conservative management, the optimal treatment strategy remains elusive.

Case report: A 31-year-old male presented to us with post-traumatic elbow arthritis with loss of function affecting his activities of daily living, 2 years post a road traffic accident. Radiographs showed a malunited right proximal humerus fracture with arthritic right elbow joints with implants present in situ. As he was a young person with high functional demands, we decided to take him up for elbow interposition arthroplasty. Fascia lata graft was taken and interposed between the prepared ends of the distal humerus and proximal ulna. Intraoperative range of 20-120 degree was possible. One year post-surgery after undergoing rehabilitation therapy, the patient had good clinical function with elbow range of motion between 15 and 110° of flexion.

Conclusion: Interposition elbow arthroplasty provides satisfactory functional results in young patients with post-traumatic elbow arthritis.