Elbow, late displacement and dislocation of

radial head after 4 weeks from operation.

1st day after operation, 1st hospital

Mal-reduction of the olecranon.

The Surgeon might recognize the mal-reduction of the fracture.
the 1st day after operation
the 19th day after operation,
transferred to another hospital
Intra-operative c-arm view
Intra-operative view,
This surgeon try to reduce the dislocation
of radial head.
This is the second operation by the 2nd hospital
23rd day after the 1st operation
We cannot always believe the talking of the patient.
But he said that that day he took the Xray with extreme posture
ordered by doctor.

29th day after 1st operation

redislocation of radial head,
First of all, I couldn’t help but believed what the patient said. And I thought that when he took an x-ray about a week ago,
there would have been dislocation.

He was transferred to my hospital

on the 34th day after the 1st operation.
The next day, I performed the operation.
This was the intraoperative view. This was one week after re-dislocation of the radial head.

Mini-incision, insert bone hook and pulled down

You should be careful not to injure the PIN.

Usually, the PIN is veray near the radial head because the upward displacement
of the radial head.
I will tell you how to protect the PIN.
Risks of the fracture.
can be slip to other ways.
But I found that….
1. During the operation(after anesthesia), stiffness of wrist, nearly fully contracture of the wrist joint with neutral postion.
@ When I tried to make supination of the wrist, I couldn’t do that.
2. Also when I tried to make the rotation of the elbow joint after anethesia, the motion of the joint was really slight.
3. I could make the reduction of the dislocation. But Not Accurate.
4. I will keep the Steinman pin for 3 weeks. I should wait for 3 weeks.