PMID: 9173549Mar 1, 1997Paper

Long-term results of therapy of open and closed fractures of the elbow joint

Der Unfallchirurg
A SeekampH Tscherne

Abstract

Fractures of the elbow joint are quite rare compared with the total incidence of injuries to the extremities. However, elbow fractures often result in significant disability. Therefore in a retrospective study, we have evaluated criteria that are of prognostic value for late functional outcome. Sixty-four (10.3%) of 622 patients with closed elbow fractures and 107 (89%) of 119 patients with open elbow fractures underwent a physical examination. The mean follow-up time was 8.2 years. The functional outcome was recorded by a modified score (0-max. 15) according to Morrey. Epidemiological data from both groups revealed a greater severity and higher degree of injury in open fractures than in closed fractures. In contrast, both groups presented a comparably good functional result. The most significant factor for poor outcome (score < 5) was identified as nerve lesions. Among all nerve lesions in open fractures, 45% resulted in a functional score of < 5; in 42% of closed fractures combined with a nerve lesion a similarly poor result was also noted. A second major factor appeared to be the method of primary therapy. An external joint transfixation resulted in a score of < 5 in 32% of patients that were treated primarily by transfixati...Continue Reading

Citations

Mar 3, 2006·Archives of Orthopaedic and Trauma Surgery·Carl HaasperJohannes Zeichen
Dec 8, 2006·Journal of Orthopaedic Surgery and Research·Constantinos J KazakosConstantinos Simopoulos

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