Dr. C. B. Sledge: A 17-year-old boy sustained a sideswipe injury to his right elbow in an automobile accident. He was sitting on the right side of the front seat with his right elbow resting on the door and protruding through the window space when the accident occurred. He sustained severe lacerations of the right arm and forearm with an avulsion of approximately 7 inches of the distal shaft of the humerus (Fig 1) and fractures of both bones of the right forearm (Fig 2). Both humeral condyles were present, but there was an intercondylar fracture. He also sustained a fracture of the right carpal navicular (Fig 1, right). Circulation in the hand was intact.
Initial treatment consisted of debridement and partial closure of the wound with the application of skeletal traction through the olecranon. The patient was given tetanus toxoid and antibiotics. However, a wound infection developed on the