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DR. PRASHANT RAI
2nd
YEAR PGT
CNMC&H
PRE OPERATIVE
INVESTIGATION
TC,DC,ESR,HB%
SUGAR,UREA,CREATININE
BT,CT
ECG,CHEST X RAY
X RAY OF NORMAL SIDE(100%
MAGNIFICATION)ELBOW FOR CUSTOM MADE
PROSTHESIS
OPERATIVE TECHNIQE
INCISION
Lateral skin incisi0n
We used Kocher approach
Direct lateral approach
INTRAOPERATIVE IMAGE
POST OF PROTOCOL
Stitch removal at two weeks
Post operative AEPOP slab removed at 3 weeks
Elbow movements started at 3 weeks
Normal day to day activity resumed at 8 weeks
CASE 1
A 28 yr old female patient with h/o fall from bicycle
on outstretched right hand following injury patient
presented with pain and swelling and restriction of
movement of right elbow.
X-RAY
POSTOPERATIVE FOLLOW UP X
RAY
AFTER 2 MONTH AFTER 1 YEAR
RANGE OF MOTION AFTER 1
YEAR
FLEXION EXTENSION
RANGE OF MOTION AFTER 1
YEAR
SUPINATION PRONATION
SKIAGRAM AT 2 AND HALF YEAR
FOLLOW UP
RANGE OF MOTION AFTER 2
AND HALF YEAR
FLEXION EXTENSION
RANGE OF MOTION AFTER 2
AND HALF YEAR
PRONATION SUPINATION
CASE 2
HISTORY- 35 years old female patient h/o fall on
outstretched right hand one and half year back.
Following injury patient presented with swelling in
her right elbow.
X-RAY
POST OPERATIVE X-RAY
FOLLOW UP X-RAY
FLEXION EXTENSION
SUPINATION PRONATION
Case of radial head prosthesis

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Case of radial head prosthesis