Open Reduction and Temporary Internal Fixation of a Subacute Elbow Dislocation

Neuhaus, Valentin; Alqueza, Arnold; Mudgal, Chaitanya S.

doi:10.1016/j.jhsa.2012.02.025

Cited by 11 publications

(5 citation statements)

References 8 publications

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“…Lateral, posterior medial, medial, anterior and divergent (characterised by displacement of the radius from the ulna) are much less common. 4,8 Our results concur with the reported literature on the mechanism of injury and the direction of dislocation. Our cohort consisted of four posterior, four postero-lateral and one divergent dislocation, most of which were sustained following a simple fall.…”

Section: Discussionsupporting

confidence: 91%

“…Successful treatment is a challenge and depends on obtaining and maintaining concentric reduction of the ulno-humeral and radio-capitellar joints as well as a functional arc of motion in order to complete ADLs. 8,9 We achieved concentric reduction on all patients. ROM in terms of flexion and extension varied between patients ( Table I) patients, three with associated fractures and ten without.…”

Section: Discussionmentioning

confidence: 82%

“…The majority of acute elbow dislocations (80-90%) are posterior or postero-lateral and result from a fall on outstretched hand with the forearm pronated. 2,4,7,8 Other mechanisms of injury include high velocity motor vehicle accidents, assaults and sports-related injuries. Lateral, posterior medial, medial, anterior and divergent (characterised by displacement of the radius from the ulna) are much less common.…”

Section: Discussionmentioning

confidence: 99%

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Functional outcomes following surgical treatment of chronically unreduced simple elbow dislocations: a retrospective review

2018

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Citation: Yende T, Senoge ME and Ferreira N. Functional outcomes following surgical treatment of chronically unreduced simple elbow dislocations: a retrospective review. SA Orthop J 2018;17(4):33-38. http://dx. AbstractBackground: Chronic elbow dislocations are rare injuries that present late for orthopaedic management. The delay in presentation is frequently due to patients not seeking treatment after the initial injury, poor access to health care, inadequate initial treatment of acute dislocation or initial missed diagnosis. Chronic simple elbow dislocations refer to dislocations that remain unreduced for more than two weeks and are not associated with fractures. This study aims to evaluate the outcome of surgically treated chronic elbow dislocations. Methods: A retrospective review of all patients who were treated for chronic simple elbow dislocations between September 2009 and August 2014 was undertaken. Further information regarding return to function was obtained from the records or telephonic consultation with the patients. Nine patients were included for final analysis. Results: Nine patients were eligible for the study. Three patients were employed, three were scholars and three were unemployed. All patients were able to return to premorbid function with minor limitations due to occasional pain. According to the Mayo Elbow Performance Index (MEPI) score, two patients had excellent outcomes, three good and three fair. One could not be scored as there was no recorded scoring on the file and telephonic contact was unsuccessful. The range of motion varied from 20° of extension to 140° of flexion. One patient developed a stiff elbow but was able to adapt to activities of daily living. Conclusion: Surgical treatment of chronically unreduced simple elbow dislocations offers satisfactory outcome with minimal complications and should be considered for all patients presenting with this condition. Level of evidence: Level 4

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

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Functional outcomes following surgical treatment of chronically unreduced simple elbow dislocations: a retrospective review

2018

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“…However, there are risks of septic arthritis and pin breakage. Temporary bridge plating has also been used successfully 34 .…”

Section: Relevancementioning

confidence: 99%

Nonacute Treatment of Elbow Fracture with Persistent Ulnohumeral Dislocation or Subluxation

Chen

Jupiter

Steinmann

et al. 2014

The Journal of Bone and Joint Surgery

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➤ There are patterns of traumatic elbow instability that help a surgeon to anticipate which structures are injured.➤ Patients treated for persistent subluxation or dislocation of the elbow more than two weeks after injury regain less motion and experience more adverse events.➤ The primary goal of treatment is stable reduction of the ulnohumeral joint and functional elbow motion.➤ Motion and pain are affected by contracture and scarring of the soft tissues, malalignment of the joint, fracture malunion, damage to the articular surface, and ulnar neuropathy.➤ Biomechanical and clinical studies support treatment with radial head arthroplasty and/or coronoid reconstruction for patients who have osseous insufficiency.

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“…In Edelman’s series, 6 patients with a mean age of 52 years with terrible triad injury of the elbow were treated by temporary elbow bridge plate that was taken off between 4 and 6 weeks [ 23 ]. The other study is a case report of a subacute elbow dislocation with a good final range using temporary elbow bridge plate [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Temporary spanning plate across the elbow for complex fractures of the distal humerus

Moharram

Mahmoud

Lymona

et al. 2021

BMC Musculoskelet Disord

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Background Open reduction internal fixation (ORIF) is the gold standard management of fractures of the distal humerus. Stable fixation to allow early mobilization is not always possible in cases with comminuted fracture patterns and bone loss, with a high failure rate. We propose augmentation of internal fixation in these unstable situations with a spanning plate across the elbow to protect the fixation construct temporarily until bone union. Methods Eighteen patients with complex distal humeral fractures were managed with standard ORIF technique augmented with a temporary plate spanning across the elbow as an internal fixator. Cases included were either very distal, comminuted (6 cases) or insufficiency fractures (4 cases) or revision fixation cases (8 cases). The temporary spanning plate was removed as soon as signs of early radiographic union were detected. Results Seventeen patients were available for final follow up at a mean 28.3 months. The spanning plate was removed after 3.4 months on average. At the final follow-up, the mean elbow total arc of motion was 86.3°. The mean Mayo Elbow Performance Score (MEPS) was 80, and the mean Quick Disabilities of the Arm, Shoulder and Hand (Q-DASH) score was 27. Conclusion Spanning the elbow temporarily with a plate in adjunct to standard ORIF technique is both simple and effective in achieving fracture stability and union and minimizes failure rates after fixation of comminuted, very distal fractures, osteoporotic cases, or revision fixation cases with bone loss. Level of evidence Level IV, Therapeutic study

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Open Reduction and Temporary Internal Fixation of a Subacute Elbow Dislocation

Cited by 11 publications

References 8 publications

Functional outcomes following surgical treatment of chronically unreduced simple elbow dislocations: a retrospective review

Functional outcomes following surgical treatment of chronically unreduced simple elbow dislocations: a retrospective review

Nonacute Treatment of Elbow Fracture with Persistent Ulnohumeral Dislocation or Subluxation

Temporary spanning plate across the elbow for complex fractures of the distal humerus

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