An example of a difficult management problem. This patient is a mid 60s year old woman who sustained multiple injuries in a motor vehicle accident, including bilateral calcaneal fractures and a closed distal humerus fracture. She was initially treated in another city.
Neurovascular exam is normal.
Early loss of fixation. Although one pin appears to be within the old cannulated screw, it is not. Finally, the titanium olecranon screw was replaced with a longer 6.5 mm stainless screw and tension band wire.