Volume 17, Pages (September 2018)

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Volume 17, Pages 24-30 (September 2018) Therapeutic strategies for elbow ankylosis due to heterotopic ossification in patients with severe burns Motomu Suito, Shunsuke Yuzuriha, Motonao Iwasawa, Daisuke Yanagisawa, Yuto Kinjo, Ikkei Takashimizu, Yuki Hoshino JPRAS Open Volume 17, Pages 24-30 (September 2018) DOI: 10.1016/j.jpra.2018.06.004 Copyright © 2018 The Authors Terms and Conditions

Figure 1 (a). Nine weeks after the injury. Elbows were ankylosed in extension position. (b), (c): Six months postoperatively. She could touch the anterior chest and the back of her head. JPRAS Open 2018 17, 24-30DOI: (10.1016/j.jpra.2018.06.004) Copyright © 2018 The Authors Terms and Conditions

Figure 2 The progress of the HO on X-ray or Three dimensional computed tomography (3DCT) images of the left elbow. (a). (9 weeks after the injury) The border of HO (yellow arrow) was irregular. (b). (14 weeks after the injury, immediately after the operation) The HO was all resected. (c). (17 weeks after the injury, 3 weeks postoperatively) The HO recurred (yellow arrow). (d). (21 weeks after the injury, 7 weeks postoperatively) The recurrent HO was resolving spontaneously. (e). (30 weeks after the injury, 16 weeks postoperatively) Recurrent HO was absent. (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.) JPRAS Open 2018 17, 24-30DOI: (10.1016/j.jpra.2018.06.004) Copyright © 2018 The Authors Terms and Conditions

Figure 3 The progress of the HO on X-ray or 3DCT images of the right elbow. (a). (9 weeks after the injury) The border of HO (the yellow arrow) was irregular. (b). (17 weeks after the injury) A continuous osseous bridge between humerus and ulna (the yellow arrow), and bone resorption of ulnar (the yellow triangle) were seen. (c). (21 weeks after the injury) The well-defined margin of the HO was identified (the yellow arrow). (d). (30 weeks after the injury, 7 weeks postoperatively) No recurrence was seen. (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.) JPRAS Open 2018 17, 24-30DOI: (10.1016/j.jpra.2018.06.004) Copyright © 2018 The Authors Terms and Conditions

Figure 4 The right elbow treated surgically at 23 weeks after the injury. After an initial capsulotomy, abnormal macroscopic findings were not found in joint cartilage. JPRAS Open 2018 17, 24-30DOI: (10.1016/j.jpra.2018.06.004) Copyright © 2018 The Authors Terms and Conditions