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Case Reports
. 2019 Dec;9(4):e0451.
doi: 10.2106/JBJS.CC.18.00451.

Radial Neck-to-Humerus Transposition for Elbow Reconstruction Following Oncologic Resection of the Proximal Ulna: A Report of Two Cases

Matthew T Houdek  1 , Sanjay Gupta  2 , Anthony M Griffin  3 , Jay S Wunder  3 , Peter C Ferguson  3
Affiliations
Case Reports

Radial Neck-to-Humerus Transposition for Elbow Reconstruction Following Oncologic Resection of the Proximal Ulna: A Report of Two Cases

Matthew T Houdek et al. JBJS Case Connect. 2019 Dec.

Abstract

Case: Two young adult (aged 25 and 21 years) patients presented with sarcomas of the proximal ulna. To achieve an oncological margin, the proximal ulna required resection. Owing to the complex biomechanics of the elbow joint, reconstructive options are limited and have a high complication rate. The elbow was reconstructed with a transposition of the radial neck to the trochlea of the humerus in both patients. At over 2 years of follow-up, both patients have a stable and functional elbow.

Conclusions: Transposition of the radial neck to the trochlea of the humerus provides a biological reconstruction in this complex problem.

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