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

Kamrani, Reza Shahryar; Farhadi, Leili; Zanjani, Leila Oryadi

doi:10.17795/soj-1893

Cited by 1 publication

(2 citation statements)

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“…The surgical outcome in treatment of the chronic persistent elbow instability was previously reported by many authors [ 2 , 4 , 18 ]. Most of the reports are case series which combined the dislocation with and without associated fractures in the review.…”

Section: Discussionmentioning

confidence: 83%

“…The suboptimal results with potential treatment failure were noted when associated radial head fracture was presented [ 4 , 19 ]. Residual range of motion deficit and flexion contracture is commonly seen following the treatment [ 2 , 4 , 18 , 19 ]. In the present case, the arc of motion was greater than 90 degrees, the flexion contracture was less than 30 degrees, and the elbow was painless and stable postoperatively.…”

Section: Discussionmentioning

confidence: 99%

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The Patient-Specific Implant Created with 3D Printing Technology in Treatment of the Irreparable Radial Head in Chronic Persistent Elbow Instability

Luenam

Kosiyatrakul

Hansudewechakul

et al. 2018

Case Reports in Orthopedics

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Successful treatment of the chronic persistent elbow instability is a challenge for orthopedic surgeons. In this form, it is important to recognize and restore the osseous stabilizer in order to obtain the concentric reduction. In the present report, we describe a case of such injury with irreparable radial head treated with patient-specific radial head prosthesis which was created with 3D printing technology. To our knowledge, this is the first report in clinical use of this kind of prosthesis for the radial head fracture. At a 24-month follow-up visit, the patient was satisfied with the functional outcomes. The Mayo Elbow Performance Index (MEPI) increased from 20 points at the preoperative day to 85 points, and the patient-based Disabilities of the Arm, Shoulder, and Hand (DASH) was reduced from 88.33 points to 28.33 points. Due to the favorable result, replacement of the radial head with the patient-specific implant could be a useful treatment for the irreparable radial head in chronic persistent elbow instability.

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Section: Discussionmentioning

confidence: 83%