Neglected elbow dislocation in a young man: treatment by open reduction and elbow fixator

Open Reduction and Temporary Internal Fixation of a Subacute Elbow Dislocation

“…7 Open reduction without collateral ligament repair and temporary hinged external fixator for 4 to 6 weeks led to similar or slightly better results in 7 other patients, but with relevant transient complications in 3. 1,2,6 In contrast, open reduction and transarticular pinning with 1 or 2 Kirschner wires for 2 weeks and a sling afterward resulted in a motion arc of 90°at an average follow-up of 19 months in 2 adults and 4 children. 8 In the current case, we wanted to ensure that the method of reduction would be sturdy to allow soft tissue healing, would not require patient participation for its care, and would be stable enough to withstand the weight of a large upper limb in this morbidly obese patient.…”

“…These findings concurred with those described in other reported cases and in our case. 6 Some type of stabilization is vital to maintain the reduction. Splint or cast immobilization, transarticular pinning with a Kirschner wire, and external fixation (hinged or static) have been used to maintain reduction.…”

La voie d’abord postérieure transtricipitale dans les luxations invétérées du coude

“…Lo et Chang [8] rapportent un cas de luxation postérieure négligée d'un mois du coude chez un polytraumatisé de 22 ans. Le patient a bénéficié d'une réduction sanglante par voie postérieure respectant le tendon tricipital.…”

Management of Neglected Elbow Dislocations in a Setting with Low Clinical Resources

“…Tricepsplasty was performed in all our patients who had a mean flexion contracture of 10° and none of our patients had instability. Some authors recommend open reduction and hinged external fixation without V‐Y plasty of the triceps bow to facilitate early rehabilitation and better stability. We had no experience with this method.…”