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- ArticleSuzuki K, Takahashi S.Acta Orthop Scand. 1978 Aug;49(4):335-7.In a patient with a severely damaged elbow, the complication of gas gangrene could be controlled without amputating the arm. However, massive bony defects resulted in a flail elbow joint and an attempt to fit a specially designed endoprosthesis replacement failed. Four years post-injury, the flail joint was fused by three bone grafts on three separate occasions. These experiences are reported and discussed.