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Limb Salvage in Near-Total Traumatic Elbow Amputation with Bone Loss Using Spanning Titanium Elastic Nails: A Case Report

Year: 2026
Type: article
Abstract: Introduction: Near-total traumatic amputation around the elbow is a devastating injury associated with extensive soft-tissue damage, contamination, vascular compromise, and bone loss. Limb salvage in such injuries remains challenging. Case Report: A 54-year-old female sustained a near-total traumatic amputation of the right elbow following a road traffic accident. After extensive debridement and temporary stabilization with an external fixator, four titanium elastic nails were inserted in a spanning configuration across the elbow, connecting the fractured humerus with the fractured radius and ulna. Following staged wound management and split-thickness skin grafting, limb salvage was achieved. Conclusion: Spanning titanium elastic nails may provide an unconventional salvage fixation option in severe elbow trauma with bone loss when conventional fixation methods are not feasible.
Institution: Goa Medical College
Language: English
Field: Medicine
Open Access status: gold
Estimated APC paid: $250
OpenAlex ID: W7225588698
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