Acute elbow dislocation with arterial rupture. Analysis of nine cases

Ayel, J.-E.; Bonnevialle, Nicolas; Lafosse, J.-M.; Pidhorz, L.; Homsy, Mia; Mansat, Pierre; Chaufour, Xavier; Rongières, M.; Bonnevialle, P.

doi:10.1016/j.otsr.2009.04.013

Cited by 45 publications

(71 citation statements)

References 36 publications

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“…This distribution is in agreement with the literature in relation to fracture-dislocations [21][22][23]25]. However, neurovascular injury prevalence is higher in open dislocations than in closed dislocations [4].…”

Section: Discussionsupporting

confidence: 91%

“…Consequently, dealing with the osseous stabilizers in the complex elbow dislocation is the main goal of treatment [10,20,23]. Despite the preponderance of literature on traumatic injuries about the elbow, there are relatively few data specifically addressing open elbow dislocations, whether simple or complex [1,2,4,6,12,16,18]. Owing to the paucity of published data in this type of injuries, we performed this study to compare the results after operative treatment of simple and complex open elbow dislocations in terms of (1) ROM, (2) functional score, and (3) complications.…”

Section: Discussionmentioning

confidence: 99%

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Comparative Study of Simple and Complex Open Elbow Dislocations

Boretto

Sammartino

Gallucci

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background Open elbow dislocations are rare injuries. Most of the evidence related to these dislocations is found in case reports or in series with closed injuries. We reviewed the experiences of three centers in the treatment of open elbow dislocations. Question/purposes We compared the results after operative treatment of simple and complex open dislocations in terms of (1) ROM, (2) functional score, and (3) complications. Methods Eighteen patients were retrospectively included in this study: 11 with simple open elbow dislocations and seven with complex open elbow dislocations. Mean age was 40 years. Thirteen were men. Eight patients presented neurovascular injuries. Evaluation included ROM of the elbow and forearm as measured by hand-held goniometer. We then classified the results using the 100-point Broberg and Morrey functional rating index based on ROM, grip strength, elbow stability, and pain. Scores of 95 to 100 were considered excellent, 80 to 94 good, 60 to 79 fair, and less than 60 poor. Complications were recorded. Minimum followup was 6 months (mean, 25 months; range, 6-72 months). Results We found no differences between simple and complex open elbow dislocations related to ROM (median flexion/extension: 117°versus 110°, p = 0.12; forearm rotation: 160°versus 170°, p = 0.67). According to the Broberg and Morrey score, four patients had excellent results, five good, and one fair in the simple dislocation group, whereas in the complex dislocation group, four patients had excellent results, two good, and one fair (p = 0.8). No difference in complication rate was found between groups (p = 0.63). All complications in the simple dislocation group were neurovascular. In the complex dislocation group, there was one case of brachial artery occlusion, two cases of heterotopic ossification, one case of infection and nonunion, and one case of infection. No patients had recurrent elbow instability.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Comparative Study of Simple and Complex Open Elbow Dislocations

Boretto

Sammartino

Gallucci

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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“…Open dislocation occurs after a prior severe trauma (a fall from a height, traffic accidents, contact sports) when humerus damages the skin (8).…”

Section: Discussionmentioning

confidence: 99%

“…Vascular reconstruction requires the total joint stability during vascular reconstruction and postoperatively. Fixation of the elbow at 90 degrees is recommended (8).…”

Section: Discussionmentioning

confidence: 99%

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Surgical Treatment of an Open Elbow Dislocation with Vascular Injury: A Case Report

Stojiljković¹,

Jovanović²,

Golubović³

et al. 2017

Acta Facultatis Medicae Naissensis

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Open elbow dislocations with vascular injury are rare injuries and they most commonly occur after a fall from a high or in sports accidents. Close anatomic proximity of the joint to the neurovascular structures put them at risk of concomitant injury. The aim of this paper is to present the method of treatment of this severe injury.Herein we present a case of a female patient, 43 years old. She had suffered an open elbow dislocation with vascular injury as a result of a fall from the height of 1.5 meters. Seven hours after sustaining the injury and short preoperative preparation, reposition of the elbow, reconstruction of the vascular injury, adequate surgical treatment of the wound and external fixation of the elbow with the Mitković type external fixator were performed under general anesthesia. Four weeks after elbow stabilization with the external fixation, the external fixator was removed. The neurovascular status and final functional result of the treatment after six mounts were good. Urgent reposition, artery and vein reconstruction, and external fixation are essential in achieving good results in patients with open cubital dislocation accompanied with vascular injury. The Mitković type external fixator provides fast and stable fixation of the elbow after reposition and good conditions for wound care.

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