Rheumatology: Current Research
Open Access

Surgical results of unstable complex elbow fracture-dislocation: Report of twenty cases

5^th International Conference of Orthopedic Surgeons and Rheumatology

June 16-17, 2016 Alicante, Spain

Kaveh Gharanizadeh

Iran University of Medical Sciences, Iran

Posters & Accepted Abstracts: Rheumatology (Sunnyvale)

Abstract :

Introduction: Unstable elbow fracture � dislocation is difficult to manage and could end in devastating results. Terrible triad and Transolecranon fracture-dislocation are the most problem maker types. Methods: 18 patients with terrible triad and one Transolecranon fracture-dislocation that underwent surgery were followed for 1-4 years. In the terrible triad group 13 cases approached with single lateral incision and five with double incision (lateral and anteromedial). Patients were examined for MEPS (Mayo elbow performance score) and DASH (Disabilities of the arm, shoulder and hand) questionnaires are filled. Radiographies are evaluated for joint congruity, union of the fractures, heterotopic ossification and post traumatic osteoarthritis. Results: The mean of DASH score was 17.6 and for MEPS was 86 that shows good result. One case ended in poor result because of the redislocation after surgery. If we ignore this case the results will be excellent. Conclusions: Surgical management of the unstable elbow fracture- dislocation can end in good results if congruous and stable joint reconstruction could be achieved. Also we suggest lateral approach with transosseous suture fixation of the coronoid fragment for the most cases of terrible triad fracture-dislocation.

Biography :

Email: kaveh.gharani@gmail.com