Chronic elbow subluxation is uncommon but challenging to treat. Although many treatment methods have been described, few clinical outcome studies have been done because of the infrequency of the condition. Reconstruction has been better defined for radial head deficiencies than for the coronoid. Recognizing and repairing or reconstructing any associated soft-tissue deficiencies are important to a good outcome. For some patients, protecting the reconstruction with a hinged external fixator is recommended to allow early range of motion.