Augmented Total Elbow Arthroplasty with Femoral Strut Allograft for Revision of Prosthetic Joint Infection with Distal Humerus Bone Loss and Incomplete Union of Periprosthetic Humeral Shaft Fracture

Figure 4

Intraoperative images showing a “sandwich” technique of the femoral strut allograft and total elbow arthroplasty with 50 mm distal augment. Triceps tendon (black <) released off the ulna in a continuous sleeve with anconeus muscle. Ulnar nerve (yellow ) marked with a vessel loop to ensure protection throughout the procedure.