Surgical management of fracture of the proximal third of ulna and buried kirschner wire fixation for radial head fracture: A case report

Abstract

A 18-year-old male patient gave alleged history of road traffic accident, it’s borewell lorry run over elbow - high velocity injury. On examination – wound of size 12 x 6 cm over posterior aspect of right elbow, exposing bone fragments and laceration of muscles in the posterior aspect of the proximal forearm contaminated with sand and grass particles. Patient clinico-radiologically diagnosed as fracture of the proximal third of ulna and radial head right sided without distal neurovascular deficits. All other long bones and joints were clinically found to be normal. After informed consent, patient underwent Wound debridement, open reduction and internal fixation with buried Kirschner’s wire fixation for radial head and with cannulated cancellous screw fixation for olecranon was done, with skin grafting for raw area on posterior aspect of right elbow. Patient is being followed at regular intervals. Range of motion at 6months right elbow is 0-130 degree flexion. Kirschner wire and cancellous screw are cost effective than any other expensive implants and it can be a alternative to the plate osteosynthesis.