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Case Reports in Orthopedics
Volume 2018, Article ID 8253732, 7 pages
Case Report

The Waterfall Fascia Lata Interposition Arthroplasty “Grika Technique” as Treatment of Posttraumatic Osteoarthritis of the Elbow in a High-Demand Adult Patient: Validity and Reliability

1Department of Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy
2Shoulder and Elbow Unit, Rizzoli Orthopedic Institute, Bologna, Italy
3Upper Limb Unit, Department of Orthopedic Surgery, Amphia Hospital, Breda, Netherlands
4Department of Orthopedic Surgery, AMC, Amsterdam, Netherlands
5Orthopedics and Traumatology Unit, SM Misericordia Hospital, University of Perugia, Perugia, Italy
6Orthopedics and Traumatology Unit, Univerisity of Rome La Sapienza, Rome, Italy

Correspondence should be addressed to Riccardo Maria Lanzetti; moc.liamg@itteznalodraccir

Received 27 November 2017; Revised 13 March 2018; Accepted 20 March 2018; Published 22 April 2018

Academic Editor: Werner Kolb

Copyright © 2018 Giuseppe Rollo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. The elbow interposition arthroplasty is a very common procedure performed mainly on active young patients who need great functionality and for whom total joint replacement is contraindicated and arthrodesis is noncompliant. We are going to demonstrate a case of a 34-year-old male suffering from malunion of the distal humerus, elbow stiffness, and manifest signs of arthrosis of the dominant limb, treated with the IA Grika technique at a 5-year follow-up. Patients and Methods. The chosen criteria to evaluate the injured side and the uninjured side during the clinical and radiological follow-up were the objective function and related quality of life, measured by the Mayo Elbow Performance Score (MEPS), and postoperative complications. To assess flexion and supination forces and elbow muscular strength, a hydraulic dynamometer was used. Results. At a 5-year follow-up, the results were excellent as during the first year. Conclusions. The Grika technique is a valid and feasible option in the treatment of elbow injuries.