Reconstructing the Epicondyle and Collateral Ligament in Missing Condylar Region Associated with Severe Elbow Trauma: A Report of 2 Cases.

CASES: We report 2 cases of missing condylar region associated with severe elbow trauma treated with our new surgical technique and present the outcomes at the 9- and 10-year follow-ups. Our method focused on anatomical isometric point reconstruction, which consisted of the reconstruction of the missing condylar region with the iliac bone and the collateral ligament with the palmaris longus tendon.

CONCLUSIONS

This injury is rare, and treatment is challenging because of the difficulty in identifying the isometric point. Both patients achieved good elbow function. The bone defect region was almost remodeled with minimal bone tunnel enlargement. Overall, our technique can provide positive results.