Treatment of chronically unreduced complex dislocations of the elbow View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2009-10

AUTHORS

Roland Ivo, Konrad Mader, Jens Dargel, Dietmar Pennig

ABSTRACT

Chronic dislocation of the elbow is an exceedingly disabling condition associated with severe instability, limitation of elbow function and significant pain. Due to the potentially conflicting goals of restoring elbow stability and regaining a satisfactory arc of motion, successful treatment is a challenge for the experienced trauma surgeon. We report our treatment strategy in three patients suffering from chronically unreduced fracture-dislocations of the elbow. The treatment protocol consists of in situ neurolysis of the ulnar nerve, distraction and reduction of the joint using unilateral hinged external fixation and repair of the osseous stabilizers. A stable elbow was achieved in all patients, without the need of reconstruction of the collateral ligaments. At final follow-up, the average extension/flexion arc of motion was 107 degrees (range, from 100 degrees to 110 degrees ). The average MEPI score at follow-up was 93, and the average DASH score was 19. This is a promising treatment protocol for the treatment of chronically unreduced complex elbow dislocations to restore elbow stability and regain an excellent functional outcome. More... »

PAGES

49-55

References to SciGraph publications

  • 2008. The Complex Dislocations of the Elbow in TREATMENT OF ELBOW LESIONS
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s11751-009-0064-1

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    http://dx.doi.org/10.1007/s11751-009-0064-1

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    PUBMED

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