Results of Posterior Dislocation of Elbow Associated with Bony and Soft Tissue Injury
- Author:
Neel M Bhavsar
;
Jyotish G Patel
;
Pankaj R Patel
;
Jigar B Chhapan
- Publication Type:Journal Article
- Keywords:
elbow dislocation, ligament instability, coronoid fracture
- From:Malaysian Orthopaedic Journal
2013;7(1):13-18
- CountryMalaysia
- Language:English
-
Abstract:
Elbow trauma is challenging to manage by virtue of its
complex articular structure and capsuloligamentous and
musculotendinous arrangements. We included 17 patients
with elbow dislocation and associated injuries in this study.
The study protocol included early elbow reduction and
planned fixation of the medial or lateral condyle, coronoid
and radial head. The sample was 73% male and 27% female
with mean duration follow-up of 8 months, and mean age of
37 years. The mean Mayo Elbow Performance Score was 96
points at conclusion of follow-up, indicating an excellent
result in 14 patients. Whenever the radial head was excised, we performed a strong transosseous ligamentous repair of the medial and lateral collateral ligaments. Fixation of the coronoid is essential for elbow stability. A small avulsed fragment can be fixed using an ACL jig. We found this technique very useful. Early planned intervention, stable fixation, and repair provide sufficient stability and enhance functional outcomes.
- Full text:W020160108590056066087.pdf
