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Un pontage brachio-antibrachial a été réalisé dans huit cas par interposition d’un greffon veineux inversé aux dépens de la veine grande saphène six fois ou de la basilique homolatérale deux fois une suture termino-terminale a été réalisée dans un seul cas. Dans les six autres cas, le tableau clinique était subaigu : le pouls radial était aboli, y compris après réduction, mais la primary restait vascularisée. Une artériographie a été réalisée dans cinq cas après réduction du déplacement confirmant l’interruption de l’axe huméral en moyenne 5 à 6 cm au-dessus de l’interligne du coude et retrouvant une intensive collatéralité responsable d’une opacification des artères antibrachiales au tiers proximal. Il s’agissait exclusivement d’hommes d’âge moyen 37,3 ans (de eighteen à 58 ans), victimes d’un accident sportif deux fois, d’une chute trois fois et de quatre mishaps de la voie publique. Le risque de lésion vasculaire est probablement lié à l’importance du déplacement et secondaire à l’intensité du traumatisme un tel contexte représente un argument d’alerte diagnostique en faveur d’une atteinte vasculaire associée. La réparation vasculaire ne se conçoit que sur un coude réduit et le restant dans sa posture de fonction. Il s’agissait du as well as mauvais résultat, caractérisé par une importante raideur avec un arc de mobilité de 40°. La réparation vasculaire avait été effectuée avec un pontage veineux inversé à partir de la veine basilique homolatérale

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