Elbow dislocations are treated in emergency. Neglected elbow posterior dislocations are very rarely seen and the treatment for neglected cases is more complicated than acute cases. We present a case of. Neglected posterior dislocation of the elbow treated with open reduction and hinged external fixator. 23-year-old male patient presented with neglected posterior dislocation of left elbow without neurological deficit following fall from height. Patient was initially treated by an osteopath for two months and came to our hospital . Patient underwent open reduction of left elbow and hinged external fixator application under general anaesthesia. Post-operative rehabilitation was started after 6 weeks and after 3 months of surgery patient attained full range of movements in left elbow without any residual instability. The treatment for neglected elbow dislocation is quite challenging. Open reduction and hinged external fixation have satisfactory results with the possibility of early rehabilitation. This method can be considered as an option for such cases.
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