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Sideswipe elbow fractures.

M G Raab1, M A Lapid, D Adair

  • 1Dwight D. Eisenhower Army Medical Center, Fort Gordon, Georgia, USA.

Contemporary Orthopaedics
|February 7, 1995
PubMed
Summary
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Operative treatment for severe sideswipe elbow fractures (SSEFs) can yield functional outcomes. This review of SSEFs highlights the complexity and potential for recovery in these challenging elbow injuries.

Area of Science:

  • Orthopedic Surgery
  • Trauma Care

Background:

  • Sideswipe elbow fractures (SSEFs) are severe injuries often involving multiple bone and soft tissue structures.
  • Operative management is frequently required for these complex fractures.

Observation:

  • A retrospective review of five SSEF cases treated between 1982 and 1992 was conducted.
  • Injuries included open fractures of the olecranon, radius, ulna, humerus, and traumatic arm amputation.
  • Concomitant neurovascular injuries were common, including radial, median, and ulnar nerve palsies, and brachial artery damage.

Findings:

  • Treatment involved irrigation, debridement, open reduction internal fixation, external fixation, or delayed amputation.
  • Functional outcomes for three of four reconstructed patients showed average ranges of motion: 130/-10 degrees flexion/extension and 60/60 degrees pronation/supination.

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Implications:

  • Operative intervention for SSEFs can restore significant elbow function despite injury severity.
  • Early and aggressive management of neurovascular complications is crucial for optimal outcomes in elbow trauma.
  • Further research is needed to optimize surgical techniques for complex elbow fractures.