Complications Associated With Hinged External Fixation for Chronic Elbow Dislocations

Potini, Vishnu C.; Ogunro, Shade; Henry, Patrick; Ahmed, Irfan; Tan, Virak

doi:10.1016/j.jhsa.2014.12.043

Cited by 18 publications

(13 citation statements)

References 33 publications

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“…Furthermore, to the best of our knowledge, it is also the largest case-series of old elbow dislocation treated with this technique (1, 2). Reporting old dislocation together with old fracture-dislocation is another weak point of our study, but it is deserving of note that it is not uncommon in other studies (4)(5)(6). To our mind, these two categories share the same principles of treatment.…”

Section: Discussionmentioning

confidence: 78%

“…Ring et al (7) reviewed 13 patients with old unreduced elbow fracture-dislocation: all the patients recovered elbow stability with an average Mayo Elbow Performance Index score of 84 and average elbow motion of 99 degrees. Potini et al (6) retrospectively reviewed 7 patients with old elbow fracture-dislocation with at least one month's delay in treatment. At least 5 of their patients had fractures interfering with elbow stability.…”

Section: Discussionmentioning

confidence: 99%

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Old Unreduced Elbow Fracture and Fracture Dislocation: Treatment With Open Reduction and Hinge External Fixation

2015

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Results:The mean elbow range of motion at the final follow-up was 98 degrees (SD = 10). According to the Mayo Elbow Performance Index score, 6 patients achieved excellent results and 2 other had good results with a mean value of 92 (SD = 8). Conclusions:We recommend hinged elbow external fixation in old elbow dislocation for early range of motion and maintenance of concentric reduction with acceptable results.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Old Unreduced Elbow Fracture and Fracture Dislocation: Treatment With Open Reduction and Hinge External Fixation

2015

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“…Egol et al 26 reported minor pin drainage in 46% of patients treated with HEF, HO in 34%, and 1 patient (3%) subluxated 2 weeks after external fixator removal. Potini et al 27 evaluated complications with HEF in chronic elbow dislocations and reported a 57% complication rate. One patient (14%) fractured through the pin site, 1 (14%) developed wound dehiscence requiring flap coverage, and 2 (28%) experienced recurrent instability.…”

Section: Discussionmentioning

confidence: 99%

Internal Joint Stabilizer: A Safe Treatment for Traumatic Elbow Instability

Fene

Grewal

Eakin

et al. 2022

Journal of Orthopaedic Trauma

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“…In a study [29] of complications of hinged external xators of the elbow joint, it was pointed out that the common complications were infection (including super cial and deep infection), loosening of the xator, heterotopic ossi cation and so on. Some scholars have reported that [27,30] during functional exercise, fracture of the steel pin of the external xator and malunion of the fracture can occur. In this study, there were 3 cases of infection in the external xation stent group, all of which were super cial infections.…”

Section: Application and Characteristics Of External Xatormentioning

confidence: 99%

Treatment for Complex Elbow Fractures Involving Both a Hinged External Fixator and Internal Fixation

Fen

Yang

et al. 2021

Preprint

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PurposeTo explore the clinical outcomes of a hinged external fixator combined with internal fixation in treating complex elbow fractures.MethodsThis was a retrospective analysis of 42 cases of complex elbow fractures treated in our hospital from January 2015 to December 2019. Twenty-four cases were treated with a hinged external fixator combined with internal fixation (external fixation group), including 14 cases of the terrible triad of the elbow, 5 cases of posterior Monteggia fracture, and 5 cases of transolecranon fracture-dislocation. Eighteen cases were treated with adjustable brace fixation combined with internal fixation (brace group), including 11 cases of the terrible triad of the elbow, 3 cases of posterior Monteggia fracture and 4 cases of transolecranon fracture-dislocation. All patients were treated with open reduction and internal fixation, and the patients with postoperative elbow instability underwent fixation with a hinged external fixator or adjustable brace. Preoperative and surgical data were collected. At the last follow-up, elbow motion (extension-flexion, rotation) was recorded in the two groups of patients, and the Mayo Elbow Function Score (MEPS) was used to assess elbow joint function.ResultsAll patients were followed up for 12 to 55 months (mean 28.2 months). The bones healed in all patients with fractures; the healing time was 12.9±1.9 weeks for the external fixation group and 12.2±1.8 weeks for the brace group, and the difference was not statistically significant (P＞0.05). The average flexion-extension range of the elbow joint in the external fixation group was 128.8°±15.7°, the average rotation range of the forearm was 142.7° ± 21.5°, and the average MEPS score was 89.8±11.3 points (range 60-100 points); 14 cases were excellent, 7 cases were good, 2 cases were fair, and 1 case was poor. The excellent and good rate was 87.5%. In the brace group, the average flexion-extension range of the elbow joint was 110.3°±37.0°, the average rotation range of the forearm was 125.6°±30.5°, and the average MEPS score was 81.1±15.5 points (50-100 points); 8 cases were excellent, 5 cases were good, 2 cases were fair, and 3 cases were poor. The excellent and good rate was 72.2%. The difference between the two groups was statistically significant (P <0.05).ConclusionsThe combination of an external fixator and internal fixation in the treatment of unstable complex elbow fractures can better restore the stability and function of elbow joints than can adjustable brace fixation.

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Complications Associated With Hinged External Fixation for Chronic Elbow Dislocations

Cited by 18 publications

References 33 publications

Old Unreduced Elbow Fracture and Fracture Dislocation: Treatment With Open Reduction and Hinge External Fixation

Old Unreduced Elbow Fracture and Fracture Dislocation: Treatment With Open Reduction and Hinge External Fixation

Internal Joint Stabilizer: A Safe Treatment for Traumatic Elbow Instability

Treatment for Complex Elbow Fractures Involving Both a Hinged External Fixator and Internal Fixation

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