Significant loss of Bone and Skin- Muscle Post Traumatic of Elbow: Support Strategy in a Developing Country

Purpose: The elbow bone traumas are very serious lesions that can compromise the function of this joint in the future. These lesions are most severe when there is a defect of bone which affects one component of the joint. Case report: We report a case of open trauma of the left elbow from a right-handed girl of 21 years, during an accident on the highway. On admission, the victim had a signifi cant defect of skin-muscle of the anterior medial aspect of the elbow. The exploration revealed a major loss of bone affecting the humeral trochlea which was completely absent. In emergency the patient has benefi ted from joint stabilization by an external fi xation, with a fi lling-in of the humeral-ulnar joint space with a cement spacer. The loss of muscle substance was fi lled with a latissimus dorsi fl ap followed by a skin graft made the days that followed.