Journal List > J Korean Soc Fract > v.13(1) > 1077846

Kim and Kang: Surgical Treatment of the Fracture and Dislocation of the Elbow and Early Controlled Mobilization

Abstract

PURPOSE : To assess the results according to the injury types of fracture-dislocation of the elbow and to evaluate the stability after early controlled mobilization. MATERIALS AND METHODS : Twenty-two patients were managed with open reduction and internal fixation, sometimes using the compass hinged external fixator. Most common direction of dislocation was posterior(46%) and most common associated fracture was radial head and neck fracture(36%). patients were treated with various methods regarding the types of fracture and immediate mobilization using the hinged functional brace. RESULTS : Of 11 cases associated with radial head fracture. 9 cases had excellent or good results and 2 cases combined with concomitant other fracture had fair results. Of 5 cases associated with olecranon fracture, 2 cases with severe comminuted fracture had fair or poor results. All of 6 cases associated with coronoid or medial condyle fracture had good results. Late instability was not observed in any of 22 cases. CONCLUSION : This study revealed that more combined lesion and comminution of the fracture had worse functional results. Late instability from immediate controlled mobilization was not observed.

TOOLS
Similar articles