Child 8 years …. trauma from 1 month with radial head dislocation ….now neglected dislocation with medial elbow instability due to loss of lateral support ….the patient needs radial head reduction and annular ligament reconstruction .

 

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Skin incision .

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Dissection and expose of elbow capsule

 

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Incise of elbow capule and expose of dislocated  capitelloradial joint .

 

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Debridement of ruptured annular ligament .

 

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Palmaris longus as tendon graft .

 

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Stabilize of one end of  tendon graft with the ulna .

 

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Roll graft around radial neck and reduce radial head in its place and stabilize it with k wire from capitellum to radial head with the elbow in 90 degrees position.

 

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Tight the graft around radial neck and suture it on itself .

 

 

10

 

Suture lateral elbow capsule .

 

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X -rays after surgery .

 

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