Open reduction and temporary internal fixation of a subacute elbow dislocation

Area of Science:

• Orthopedic Surgery
• Traumatology

Background:

• Subacute elbow dislocations present unique management challenges.
• Delayed treatment can impact surgical outcomes and joint health.

Observation:

• A 61-year-old female presented with a subacute elbow dislocation 4 weeks post-injury.
• The patient underwent open reduction and temporary bridging internal fixation via a posterior approach.

Findings:

• Post-operative hardware removal occurred after 4 weeks.
• One year later, the patient demonstrated near pain-free motion (20° short of full extension, full flexion).
• Radiographs revealed persistent elbow incongruity and degenerative arthritis.

Implications:

• Open reduction and internal fixation can restore function in subacute elbow dislocations.
• Long-term joint incongruity may contribute to the development of degenerative arthritis.
• This case highlights the importance of timely intervention for optimal elbow joint preservation.