Dislocation of the elbow joint--therapy and treatment outcome

At our hospital, closed dislocations of the elbow without neurovascular or osseous lesion are treated conservatively after successful reduction in the absence of a tendency to redislocation. Indications for surgery are irreducible dislocations and those with a tendency to redislocation as well as op...

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Bibliographic Details
Published inChirurg Vol. 70; no. 3; pp. 285 - 289
Main Authors Kotter, A, Ecker, M, Braun, W, Rüter, A
Format Journal Article
LanguageGerman
Published Germany 01.03.1999
Subjects
Adolescent
Adult
Aged
Aged, 80 and over
Child
Elbow Joint - injuries
Elbow Joint - surgery
Female
Follow-Up Studies
Fractures, Bone - surgery
Humans
Joint Dislocations - surgery
Joint Instability - surgery
Male
Middle Aged
Postoperative Complications - etiology
Range of Motion, Articular - physiology
Treatment Outcome
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Summary:At our hospital, closed dislocations of the elbow without neurovascular or osseous lesion are treated conservatively after successful reduction in the absence of a tendency to redislocation. Indications for surgery are irreducible dislocations and those with a tendency to redislocation as well as open soft tissue injuries, neurovascular and osseous concomitant injuries. During a period of 10 years 113 patients were treated according to this strategy. Of these patients, 46 had simple dislocations of the elbow and 67 suffered from dislocations with osseous lesions. In 95 patients follow-ups could be performed after a mean period of 55 months. In more than 75% of cases good or excellent functional results were documented; unfavourable results were seen only in patients with osseous lesions. Nearly all of the patients had a stable elbow joint at the end of therapy.
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ISSN:0009-4722