Osteochondral fracture of the trochlea associated with fracture-dislocation of the elbow.

A case of osteochondral fracture of the trochlea occurring as part of a fracture-dislocation of the elbow is reported. The damage to the medial articular surfaces was not apparent until the joint was explored. The osteochondral fragment was replaced and fixed with Smillie's pins and the result of treatment was good.