Elbow Flexion Reconstruction after Traumatic Amputation Using Hinged External Fixator and Muscle Transfer

Case: A 40-year-old man sustained a traumatic elbow disarticulation without any fracture, accompanied by severe damage of the biceps and brachialis. After replantation, passive elbow motion was used with a hinged external fixator to facilitate elbow joint reduction and mobility. Eight months after the injury, a functional latissimus dorsi transfer for elbow flexion restoration was performed. Ten years postoperatively, he achieved antigravity elbow flexion and 120° of flexion and −15° extension of the elbow. Conclusion: This reconstruction technique was useful for reconstructing elbow flexion after traumatic elbow disarticulation.