Neglected old posterior dislocation of elbow: Treatment and results of open reduction

Kachnerkar, Nilesh Indulal; Lakde, Nikhil; Salokhe, Sharad

doi:10.22271/ortho.2017.v3.i3o.154

Cited by 6 publications

(12 citation statements)

References 11 publications

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“…Other open reduction methods include splitting of the triceps, but this causes a greater degree of postoperative muscular contracture and elbow flexion restriction. 4,10 Similar to the study by Kapukaya et al We did triceps muscle lengthening. According to the study, in elbow dislocations neglected for 7 to 9 months, open reduction with triceps lengthening enables satisfactory elbow flexion.…”

Section: A B Cmentioning

confidence: 69%

“…3 Neglected elbow dislocations are common in developing countries. 3,4 The main reason for the delayed diagnosis is that patients initially seek treatment from bonesetters. Patients first consult bonesetters, who use massage, forcible manipulations and immobilisation in extension to address the problem.…”

Section: Discussionmentioning

confidence: 99%

“…These findings are consistent with those of another study achieving similar results by open reduction up to 2 years. 4 In a study by Kapukaya et al, in cases of elbow dislocations neglected for 7 to 9 months, open reduction with triceps lengthening enables satisfactory elbow flexion. Both triceps lengthening and active movement of the elbow enable satisfactory outcome.…”

Section: A B Cmentioning

confidence: 99%

“…5 Most authors recommend open reduction for latepresenting cases (up to 3 months after injury). 4,7 If the dislocation is less than six months old, the surgery is easier since the tissues (triceps and ligaments) are minimally retracted. When the dislocation is older (more than six months) and if the dislocation results in the patient having less than 90• of elbow flexion, it should be surgically reduced.…”

Section: A B Cmentioning

confidence: 99%

“…3 Since the neglected elbow dislocation in our patient has happened for more than 6 months and the triceps muscle and collateral ligaments were retracted, we use posterior approach to provide good exposure to the posterior structures that are typically retracted, as recommended by many authors. 3,4 During surgery we did soft tissue release and resection of the fibrotic tissue.…”

Section: A B Cmentioning

confidence: 99%

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Open reduction, triceps lengthening, and collateral ligaments reconstruction in neglected elbow dislocation: a case report

et al. 2020

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Neglected elbow dislocations are common in developing countries. Neglected elbow dislocation leads to retraction of triceps muscles and collateral ligaments. This cause limitation of range of movement that is inadequate for the activities of daily living. A 48 years old man presented with stiffness on the left elbow. He fell down with arm in extension position 8 months prior to admission and was treated by a traditional bonesetter before seeking medical treatment. Active ROM of the left elbow was limited to 15ᵒ during flexion. The patient diagnosed as left elbow contracture due to neglected left elbow dislocation. Open reduction, MCL-LCL reconstruction and triceps lengthening was performed. Left elbow ROM was improved and MEPI score was good on 5 months evaluation. Open reduction surgery was done to avoid the risk of fracture or articular surface damage. The posterior approach provides good exposure to the retracted posterior structures and give easier access to perform V-Y plasty used for triceps lengthening. Collateral ligaments repair provides immediate stability and give better functional results. Docking technique was used for collateral ligaments repair using fascia lata tendon graft. Immobilization and physical rehabilitation are done to improve elbow joints range of movement. Open reduction surgery, triceps lengthening and collateral ligaments reconstruction using tendon graft from tensor fascia lata give satisfactory outcome for elbow contracture due to neglected left elbow dislocation.

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Section: A B Cmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Section: A B Cmentioning

confidence: 99%

Section: A B Cmentioning

confidence: 99%

Section: A B Cmentioning

confidence: 99%

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Open reduction, triceps lengthening, and collateral ligaments reconstruction in neglected elbow dislocation: a case report

et al. 2020

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Open Reduction on very late-presenting unreduced posterior elbow dislocation: Still promising treatment option

Prasetia

Mahyudin

Rasyid

2021

International Journal of Surgery Case Reports

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Background Neglected dislocation of the elbow is associated with instability, pain, and limitation of elbow function. In developing countries, neglected dislocations of the elbow are quite common, and most patients initially go to local bonesetters, which only aggravates the problem. Presentation of case Two patients with a history of unreduced posterior elbow dislocation for more than 1 year and were treated by a traditional bonesetter were included in this case study. The first case was a 65-year-old female with a history of injury around her right elbow around 12 months before admission. The patient underwent open reduction with triceps lengthening and immobilization with plaster of paris for 3 weeks. The second case was a 53-year-old male with a history of injury caused by a fall on an outstretched hand around 18 months before admission. The patient underwent arthrolysis followed by triceps lengthening, internal fixation with transarticular k-wire, and immobilization with elbow slab for 3 weeks. Discussion To optimize treatment goals and patient function, various surgical approaches have been described for treating chronic elbow dislocations. The benefit of the V—Y triceps lengthening is to simplify the reduction procedure, especially in the elbow dislocations with greater chronicity. The downside of the V—Y lengthening is possible triceps weakness, delayed physiotherapy, and increased postsurgical pain. On the basis of this study, open reduction should remain a treatment option for patients regardless of age and chronicity of injury. Conclusion Operative treatment of late-presenting, unreduced elbow dislocation is effective in restoring the joint to a painless, stable, and functional limb.

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Luxation négligée du coude en milieu tropical : réduction chirurgicale avec allongement du tendon tricipital par une plastie en VY : à propos de 15 cas

Kouassi

M’bra

Yao

et al. 2021

Revue de Chirurgie Orthopédique et Traumatologique

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Neglected old posterior dislocation of elbow: Treatment and results of open reduction

Cited by 6 publications

References 11 publications

Open reduction, triceps lengthening, and collateral ligaments reconstruction in neglected elbow dislocation: a case report

Open reduction, triceps lengthening, and collateral ligaments reconstruction in neglected elbow dislocation: a case report

Open Reduction on very late-presenting unreduced posterior elbow dislocation: Still promising treatment option

Luxation négligée du coude en milieu tropical : réduction chirurgicale avec allongement du tendon tricipital par une plastie en VY : à propos de 15 cas

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