{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T01:12:30Z","timestamp":1770945150386,"version":"3.50.1"},"reference-count":20,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Shoulder and Elbow Arthroplasty"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>The indication for total elbow arthroplasty (TEA) for primary and posttraumatic elbow arthritis has increased, however, its indication after infection remains elusive. Wound closure about the elbow increases the challenge of treating a previously infected elbow, often necessitating soft tissue coverage with local or regional flaps. We present a 75-year-old male patient with an elbow infection following a failed complex intraarticular fracture open reduction and internal fixation of the distal humerus. Initially, he presented with severe functional impairment and pain, also with an active fistula with serous exudate, whose culture was positive for Cutinebacterium acnes. Septic hardware loosening, and septic nonunion with intraarticular involvement of the left elbow was diagnosed. The patient underwent hardware removal, fistulectomy, serial irrigation and debridement and a pedicled antegrade posterior interosseous artery (PIA) flap on staged surgical treatment. Finally, after ruling out infection persistence, a TEA was performed. We aim to report the outcome of a patient treated with a TEA in the context of a previously infected elbow with soft tissue coverage with an antegrade PIA flap. Comprehensive treatment must be done in an appropriate manner, to obtain an expedited and desirable outcome.<\/jats:p>","DOI":"10.1177\/24715492221090745","type":"journal-article","created":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T11:43:52Z","timestamp":1648554232000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Total Elbow Arthroplasty and Antegrade Posterior Interosseous Flap for Infected Posttraumatic Arthritis with an Active Fistula. A Rationale for Comprehensive Treatment. Case Report"],"prefix":"10.1016","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9508-9065","authenticated-orcid":false,"given":"Efra\u00edn","family":"Far\u00edas-Cisneros","sequence":"first","affiliation":[{"name":"Hand, Peripheral Nerve and Upper Extremity Surgeon. Orthopedic Surgery Department. Centro M\u00e9dico ABC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge Luis","family":"Mart\u00ednez-Peniche","sequence":"additional","affiliation":[{"name":"Orthopedic Surgeon, Hand Surgery Fellow, Instituto Nacional de Rehabilitaci\u00f3n"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis Carlos","family":"Olgu\u00edn-Delgado","sequence":"additional","affiliation":[{"name":"Medical Resident in Orthopedic Surgery. Centro M\u00e9dico ABC, Universidad Nacional Aut\u00f3noma de M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco Guillermo","family":"Castillo-V\u00e1zquez","sequence":"additional","affiliation":[{"name":"Orthopedic Surgeon, Orthopedic Surgery Department. Centro M\u00e9dico ABC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ranulfo","family":"Romo-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Hand, Peripheral Nerve and Upper Extremity Surgeon. Orthopedic Surgery Department. Centro M\u00e9dico ABC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armando","family":"Torres-G\u00f3mez","sequence":"additional","affiliation":[{"name":"Orthopedic Surgeon, Orthopedic Surgery Department. 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