Functional outcomes and complications of open elbow dislocations

Obere Extremität
Marc SchnetzkeThorsten Guehring

Abstract

The current study investigated the clinical outcome of open elbow dislocations, focusing on the influence of associated soft tissue and bone injury. From October 2008 to August 2015, 230 patients with elbow dislocations were treated at the study center. Our retrospective study comprised 21 cases of open elbow dislocations. The mean age of patients was 49 years (20-83 years); there were six (29%) female and 15 (71%) male patients. The range of motion (ROM) of the injured and uninjured elbow was measured, and the Mayo Elbow Performance Score (MEPS), Mayo Wrist Score (MWS), and Disability of Arm, Shoulder and Hand (DASH) score were assessed. Complications and revision surgeries were recorded. The influence of the severity of soft tissue injury (I°/II° open vs. III° open) and type of dislocation (simple vs. complex) was evaluated. After a 57-month follow-up (range, 24-98 months), the mean DASH score was 20 ± 15, the MEPS was 82 ± 11, and the MWS was 74 ± 22. The ROM of the injured elbow was significantly decreased compared with the uninjured one (arc of ulnohumeral motion: 104° vs. 137°; p = 0.001). Patients with I°/II° open elbow dislocations had a better clinical outcome according to the MEPS (86 ± 11 vs. 76 ± 9; p = 0.045) and a...Continue Reading

References

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Aug 2, 2014·International Orthopaedics·Marc SchnetzkeThorsten Guehring
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Citations

May 28, 2020·Journal of Clinical Medicine·Philipp StörmannThomas Lustenberger
Aug 12, 2020·Archives of Orthopaedic and Trauma Surgery·Marc SchnetzkeThorsten Guehring

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