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.Key Wordselbow dislocation, ligament instability, coronoid fracture
Reconstruction of degenerated ruptures of the tendoachilles
is a challenge. Ruptured tendons and the remaining tendon
ends are abnormal. A number of methods have been
described in literature reconstruct the tendoachilles, but with
variable results1. We used peroneus brevis tendon in 20
patients to augment the repair of degenerated tendoachilles
tears by creating a dynamic loop as described by Teuffer et
al2. All patients were followed up for atleast 18 months. At
the last postoperative visit, 18 out of 20 patients were able to
do a toe raise. Eighty-five per cent of patients had excellent
or good results and 15% had fair or poor results using
modified Rupp scoring. Advantages offered by this
procedure are the use of a single incision and mini incision
and use of a dispensable tendon such as the peroneus brevis
without entirely depending on the damaged tendon for
healing.Key WordsDegenerative tear of tendoachilles, augmented repair,
peroneus brevis tendon
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