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Peer-reviewedCC BY-NCJournal of orthopaedic case reports

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

  1. 1Department of Orthopaedics, Goa Medical College, Panaji, Goa, India.
  2. 2Department of Geriatrics, Goa Medical College, Panaji, Goa, India.

Abstract

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. 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. 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.

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BibTeX
@article{abdulla2026limb,
  title = {{Limb Salvage in Near-Total Traumatic Elbow Amputation with Bone Loss Using Spanning Titanium Elastic Nails: A Case Report.}},
  author = {Ajmal Abdulla and Milind Deshpande and Dhairyasheel Udaysinh Patil and Praful Mamgain and Neel Nilesh Lawande and Aadishree Devendra Kenkre},
  journal = {Journal of orthopaedic case reports},
  year = {2026},
  month = nov,
  doi = {10.13107/jocr.2026.v16.i11.8390},
  url = {https://europepmc.org/article/MED/42997142},
  note = {CC BY-NC},
}
RIS
TY  - JOUR
TI  - Limb Salvage in Near-Total Traumatic Elbow Amputation with Bone Loss Using Spanning Titanium Elastic Nails: A Case Report.
AU  - Ajmal Abdulla
AU  - Milind Deshpande
AU  - Dhairyasheel Udaysinh Patil
AU  - Praful Mamgain
AU  - Neel Nilesh Lawande
AU  - Aadishree Devendra Kenkre
PY  - 2026
DA  - 2026/11/01
JO  - Journal of orthopaedic case reports
DO  - 10.13107/jocr.2026.v16.i11.8390
UR  - https://europepmc.org/article/MED/42997142
AB  - 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. 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. 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.
SN  - 2250-0685
SN  - 2321-3817
ER  -