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July 1970

Primary Elbow Arthroplasty: A Posttraumatic Procedure With Follow-up of Ten Years

Author Affiliations

West Palm Beach, Fla
From the Palm Beach Medical Group, and the Section of Orthopedic Surgery, Good Samaritan Hospital, West Palm Beach, Fla.

Arch Surg. 1970;101(1):78-81. doi:10.1001/archsurg.1970.01340250080017

Occasionally, out of the chaotic mass of compounded bone fragments and devitalized tissue seen in the "car door elbow," a recurring pattern of injury can be observed. Two cases are being presented where the proximal ulna was extensively comminuted; the radius was dislocated and stripped of its muscle attachments, except for the insertion of the biceps tendon into the radial tuberosity. The distal end of the humerus, though somewhat scarified, was virtually intact. The neurovascular structures were quite contused, but miraculously spared—specifically the deep branch of the radial nerve and the ulnar nerve (Fig 1).

The first patient, a 31-year-old man, received the above described injury to his left elbow ten years ago in a form of trauma indigenous to Florida; ie, he caught it in the propeller of an airboat (Fig 1 and 2). The second patient, seen several months later, was a 28-year-old Negro man who sustained

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