Author/Authors :
Kural, Cemal Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi - Ortopedi ve Travmatoloji Kliniği, Turkey , Uğraş, Ali Akın Haseki Eğitim ve Araştırma Hastanesi - Ortopedi ve Travmatoloji Kliniği, Turkey , Sungur, İbrahim Haseki Eğitim ve Araştırma Hastanesi - Ortopedi ve Travmatoloji Kliniği, Turkey , Yılmaz, Murat Haseki Eğitim ve Araştırma Hastanesi - Ortopedi ve Travmatoloji Kliniği, Turkey , Ertürk, Ahmet Kamil Haseki Eğitim ve Araştırma Hastanesi - Ortopedi ve Travmatoloji Kliniği, Turkey
Abstract :
Aim. We aimed to investigate the treatment results of acute simple and complex elbow dislocations in our study. Methods. Twenty eight cases with acute elbow dislocation were involved the study. The average age was 30.2. After reduction, the treatment was planned according to the type of dislocation which is either simple or complex in the emergency department. Mayo elbow performance score was used for the follow-up of cases. Radiological evaluation was performed to all cases for detection of heterotrophic ossification and degerative arthritis. Results. The mechanism of injury was fall from a high building in 26 patients, and traffic accidents in two patients. There were 17 posterior dislocations, 10 posterolateral dislocations, and 1 posteromedial dislocation. 35.7% of cases were isolated simple dislocations whereas 64.3% of cases were complex elbow dislocations with additional pathology. We found degenerative arthritis in four cases as well as ectopic bone formation in nine cases. 82.2% of patients were rated as excellent and 18% of patients were rated as good clinically after treatment. Conclusion. Simple elbow dislocations have good prognosis, but complex elbow dislocations have complications such as elbow stiffness, heterotopic ossification and posttraumatic arthritis. Radial head fractures should be reduced to restore elbow stability whenever it is possible and radial head resection should not be performed. After reduction elbow immobilization should not be more than three weeks and excessive streching exercises should be avoided.
