Open Reduction for Late-Presenting Posterior Dislocation of the Elbow

Mehta, Sandeep; Sud, Alok; Tiwari, Afy; Kapoor, Sorabh

doi:10.1177/230949900701500105

Cited by 36 publications

(61 citation statements)

References 17 publications

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“…2 Open reduction enables restoration of a useful range of motion. 2,4 In our study, younger patients and those in whom the duration of dislocation was <45 days were more likely to achieve satisfactory outcome.…”

Section: Resultsmentioning

confidence: 76%

“…4,7 Soft-tissue contractures and fibrotic tissue filling the joint space make closed reduction dangerous. Closed reduction increases the risk of fracture or articular surface damage, owing to the development of localised osteoporosis after 3 weeks.…”

Section: Resultsmentioning

confidence: 99%

“…Contracture of the triceps surae muscle is less common in dislocations neglected for <3 months; triceps lengthening is considered appropriate for dislocations neglected for >3 months. 4,6 The immobilisation period is generally 3 weeks. 1,3,17 To decrease postoperative stiffness and allow the ligaments to heal in proper tension and achieve an appropriate range of motion, the immobilisation period is shortened to 2 weeks.…”

Section: Resultsmentioning

confidence: 99%

“…1,3,17 To decrease postoperative stiffness and allow the ligaments to heal in proper tension and achieve an appropriate range of motion, the immobilisation period is shortened to 2 weeks. 4,5 In our study, rehabilitation was started at week 3 with an adjustable orthesis.…”

Section: Resultsmentioning

confidence: 99%

“…[1][2][3] Most such patients were initially managed by local bonesetters. 4 Treatments for neglected elbow dislocation involve open reduction with or without triceps lengthening [4][5][6][7] and fixation with Kirschner wires. [5][6][7][8] This study evaluated the outcome of this technique.…”

mentioning

confidence: 99%

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Open Reduction and Kirschner Wire Fixation with Triceps Lengthening for Neglected Elbow Dislocations

Kapukaya

Uçar

Gem

2013

J Orthop Surg (Hong Kong)

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purpose. To evaluate outcome of open reduction and Kirschner wire fixation with triceps lengthening for neglected elbow dislocations. Methods. Records of 6 women and 14 men aged 7 to 60 (mean, 20) years who underwent open reduction and Kirschner wire fixation with triceps lengthening for neglected elbow dislocations were reviewed. The dislocations were posterolateral (n=11), posterior (n=4), and posteromedial (n=5). No patient had a neurologic deficit. Elbow stiffness was the main indication for surgery. The duration of dislocation was 25 to 45 days in 11 patients and >45 days in 9; the mean was 47 days. The Mayo Elbow Performance Index (MEPI) was used to assess outcome at the final follow-up. The maximum score was 100. Scores of 90 to 100 were considered excellent, 75 to 89 good, 60 to 74 fair, and <60 poor. results. The mean follow-up period was 39.1 months. At the final follow-up, the mean MEPI score was 79.3; outcome was excellent in 6 patients, good in 8, fair in Open reduction and Kirschner wire fixation with triceps lengthening for neglected elbow dislocations 4, and poor in 2. The mean MEPI was 86.4 and 70.6 for patients with ≤45 and >45 days of dislocation, respectively. The mean range of movement improved from 20º to 84.5º (p<0.001). The 2 groups were significantly different in terms of MEPI (p=0.005) and range of movement (p=0.001). The MEPI correlated negatively with the duration of dislocation (r= -0.562, p=0.01). The range of movement correlated negatively with patient age (r= -0.649, p=0.002). conclusion. Open reduction and Kirschner wire fixation with triceps lengthening, together with active postoperative elbow movements achieved favourable results for neglected elbow dislocations, especially in younger patients and those in whom the duration of dislocation was <45 days.

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Section: Resultsmentioning

confidence: 76%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%