Treatment of old unreduced dislocation of the elbow

Krishnamoorthy, S.; Bose, K.; Wong, Kenneth Pak Leung

doi:10.1016/0020-1383(76)90008-5

Cited by 36 publications

(23 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1,2 Open reduction is preferred if the duration of dislocation exceeds 3 months. 13,14 For cases presenting after 3 months, total elbow arthroplasty, excisional arthroplasty, or arthrodesis are recommended. 15,16 Neither patient age nor the duration of dislocation affects the result.…”

Section: Resultsmentioning

confidence: 99%

Open Reduction and Kirschner Wire Fixation with Triceps Lengthening for Neglected Elbow Dislocations

Kapukaya

Uçar

Gem

2013

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

purpose. To evaluate outcome of open reduction and Kirschner wire fixation with triceps lengthening for neglected elbow dislocations. Methods. Records of 6 women and 14 men aged 7 to 60 (mean, 20) years who underwent open reduction and Kirschner wire fixation with triceps lengthening for neglected elbow dislocations were reviewed. The dislocations were posterolateral (n=11), posterior (n=4), and posteromedial (n=5). No patient had a neurologic deficit. Elbow stiffness was the main indication for surgery. The duration of dislocation was 25 to 45 days in 11 patients and >45 days in 9; the mean was 47 days. The Mayo Elbow Performance Index (MEPI) was used to assess outcome at the final follow-up. The maximum score was 100. Scores of 90 to 100 were considered excellent, 75 to 89 good, 60 to 74 fair, and <60 poor. results. The mean follow-up period was 39.1 months. At the final follow-up, the mean MEPI score was 79.3; outcome was excellent in 6 patients, good in 8, fair in Open reduction and Kirschner wire fixation with triceps lengthening for neglected elbow dislocations 4, and poor in 2. The mean MEPI was 86.4 and 70.6 for patients with ≤45 and >45 days of dislocation, respectively. The mean range of movement improved from 20º to 84.5º (p<0.001). The 2 groups were significantly different in terms of MEPI (p=0.005) and range of movement (p=0.001). The MEPI correlated negatively with the duration of dislocation (r= -0.562, p=0.01). The range of movement correlated negatively with patient age (r= -0.649, p=0.002). conclusion. Open reduction and Kirschner wire fixation with triceps lengthening, together with active postoperative elbow movements achieved favourable results for neglected elbow dislocations, especially in younger patients and those in whom the duration of dislocation was <45 days.

show abstract

Section: Resultsmentioning

confidence: 99%

Open Reduction and Kirschner Wire Fixation with Triceps Lengthening for Neglected Elbow Dislocations

Kapukaya

Uçar

Gem

2013

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

show abstract

“…But after multiple published series describing good results from open reduction, surgical treatment is now back in favor [2][3][4][5][6][7][8]11,[17][18][19]. Surgery is indicated based on how the patient tolerates the associated elbow stiffness [1,8,17,20] and on the age of the dislocation.…”

Section: Discussionmentioning

confidence: 99%

“…The lateral approach advocated by Krishnamoorty [6] has the advantage of providing a good exposure of the humeroradial joint and the anterior structures, particularly the coronoid fossa. However, the posteromedial capsule cannot be accessed and the ulnar nerve cannot be controlled.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Posterior approach for surgical treatment of neglected elbow dislocation

Coulibaly

Tiemdjo

Sané

et al. 2012

Orthopaedics & Traumatology: Surgery & Research

View full text Add to dashboard Cite

show abstract

“…The postoperative functional outcome decreases with the increase in the time elapsed [2,7]. The surgical management not only includes the open reduction of the elbow joint but also elongation of the triceps aponeurosis, collateral ligament repair along with the stabilization of the elbow joint [9][10][11][12][13][14][15][16]. The aim of our study was to study the outcome of surgical management of such neglected dislocation of elbows and to compare the outcome to the studies done before.…”

mentioning

confidence: 99%

Outcome of Long Standing Ulno-Humeral Dislocation Managed by Open Reduction and Stabilization with V-Y Plasty; A Single Center Experience

Khanna¹,

Gupta²,

Kumar³

2017

BEAT

View full text Add to dashboard Cite

Objective: To assess the outcome of long standing ulno-humeral dislocation managed by open reduction and stabilization with V-Y plasty. Methodology: This prospective cross sectional study included 14 patients with elbow dislocation that was more than 3 months without joint ankylosis, myositis ossificans or nerve injury. The surgical management not only included open reduction of the elbow joint, but also elongation of the triceps aponeurosis, collateral ligament repair along with the stabilization of the elbow joint. The results were analyzed using the Mayo Elbow score and the range of motion at 3 months and results were compared with the function of the patients elbows before surgery. Results: Among the 14 included patients, there were 9 men and 5 women. The mean age of the patients was 27.8±8. Conclusion: This study demonstrates that relative good function with a pretty low risk can be obtained when comparing the functional results after 3 months with preoperative status. Based on these results we recommend that neglected elbow dislocation should be managed by surgical intervention even if the dislocations are old.

show abstract

Treatment of old unreduced dislocation of the elbow

Cited by 36 publications

References 0 publications

Open Reduction and Kirschner Wire Fixation with Triceps Lengthening for Neglected Elbow Dislocations

Open Reduction and Kirschner Wire Fixation with Triceps Lengthening for Neglected Elbow Dislocations

Posterior approach for surgical treatment of neglected elbow dislocation

Outcome of Long Standing Ulno-Humeral Dislocation Managed by Open Reduction and Stabilization with V-Y Plasty; A Single Center Experience

Contact Info

Product

Resources

About