Results of standardized treatment of elbow fracture dislocations as per their injury pattern: a retrospective cohort of 89 patients

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dc.contributor.authorReinares, Felipe
dc.contributor.authorRojas, Nicolás
dc.contributor.authorCalvo, Andrés
dc.contributor.authorAravena, Cristian
dc.contributor.authorRieutord, Juan Pablo
dc.contributor.authorCallejas, Orlando
dc.contributor.authorMontegu, Roberto
dc.contributor.authorPaccot, Daniel
dc.date.accessioned2022-04-01T15:03:44Z
dc.date.available2022-04-01T15:03:44Z
dc.date.issued2021
dc.description.abstractBackground: Elbow fracture dislocations represent difficult injuries to treat, with a high percentage ofcomplications. Classically, they are divided into posterolateral, posteromedial and transulnar pattern. It isessential to distinguish them to guide intraoperative treatment to achieve an anatomic and stablereduction that allows early mobility. Methods: A retrospective study of 89 adult patients diagnosed with elbow fracture dislocations whounderwent a standardized surgery between 2013 and 2018 with a minimum follow-up of 12 months. Demographic data, characteristics of the injury, and associated procedures were collected. Patients wereevaluated with functional scores (Mayo elbow performance score/Broberg and Morrey score) and ranges of movement at the end of the follow-up. Results: The mean age was 41 ± 12 years, mostly men (82%), with an average follow-up of 29 months. We present 42 patients with posterolateral fracture dislocation (47%), 21 posteromedial (24%) and 26 transulnar (29%). The average range of motion at the end of follow-up was 12 ± 11 extension, 124 ± 20 flexion, 76 ± 16 pronation, and 73 ± 20 supination, with a Mayo elbow performance score of 88.7 ± 12 points and 87.2 ± 12 points in the Broberg and Morrey scale. Reoperation rate was 23%, with no infection or heterotopic ossification cases. Transulnar fracture dislocations have significantly worse extension and supination. As per the functional result (Mayo elbow performance score/Broberg and Morrey scale), there are no significant differences between the different patterns. Conclusion: Proper injury pattern recognition and a standardized surgical management lead to a stable joint and good results in range of motion. Functional results are encouraging at least at short term, despite the high reoperations rate.es
dc.description.versionVersión publicadaes
dc.identifier.citationReinares F, Rojas N, Calvo A, Aravena C, Rieutord JP, Callejas O, Montegu R, Paccot D. Results of standardized treatment of elbow fracture dislocations as per their injury pattern: a retrospective cohort of 89 patients. JSES Int. 2021 Feb 9;5(3):588-596. doi: 10.1016/j.jseint.2020.12.004es
dc.identifier.urihttps://doi.org/10.1016/j.jseint.2020.12.004es
dc.identifier.urihttp://hdl.handle.net/11447/5887
dc.language.isoenes
dc.subjectElbow fracture dislocationses
dc.subjectElbow instabilityes
dc.subjectClinical outcomeses
dc.subjectElbow terrible triades
dc.subjectCoronoid fracturees
dc.subjectTransulnar fracturees
dc.subjectWorkers compensationes
dc.titleResults of standardized treatment of elbow fracture dislocations as per their injury pattern: a retrospective cohort of 89 patientses
dc.typeArticlees
dcterms.sourceJSES internationales

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