Composite Vascularized Autograft Elbow Transplant: A Case Report

JBJS Case Connect. 2021 Jul 28;11(3). doi: 10.2106/JBJS.CC.21.00220.


Case: A 37-year-old man presented with an absent right elbow joint secondary to trauma, subsequent ankylosis, total elbow arthroplasty (TEA), and TEA explantation after infection. The patient also had a contralateral complete brachial plexus injury, but an intact elbow joint. Given that the patient had a functional right hand/wrist, composite vascularized autograft elbow transplant was performed from left to right upper extremity. Four years postoperatively, the patient could independently complete activities of daily living.

Conclusion: This case is the first to report composite vascularized autograft elbow transplant. Although indications are limited, this case illuminates novel uses of standard techniques for a difficult problem.

Publication types

  • Case Reports

MeSH terms

  • Activities of Daily Living
  • Adult
  • Autografts
  • Elbow / surgery
  • Elbow Injuries*
  • Elbow Joint* / surgery
  • Humans
  • Male
  • Wrist Joint