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Bilateral Collateral Ligament Reconstruction for Chronic Elbow Dislocation.

Takeshi Kataoka¹, Takeshi Kokubu², Yutaka Mifune¹

¹Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.

The Kobe Journal of Medical Sciences

|October 7, 2020

Summary

This summary is machine-generated.

This case study details a successful surgical repair for chronic elbow dislocation in an autism spectrum disorder patient. The bilateral palmaris longus tendon graft restored elbow stability and function.

Keywords:

Chronic elbow dislocation bilateral collateral ligament reconstruction lateral collateral ligament medial collateral ligament

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Area of Science:

Orthopedic Surgery
Musculoskeletal Disorders

Background:

Chronic elbow dislocation presents a significant challenge in orthopedic surgery.
Ligamentous instability often necessitates complex reconstructive procedures.

Observation:

A 37-year-old male with autism spectrum disorder experienced recurrent posterior elbow dislocation.
Severe varus and valgus instability was noted, indicating bilateral collateral ligament dysfunction.

Findings:

Surgical intervention involved bilateral ligament reconstruction using palmaris longus tendons and temporary ulnohumeral joint fixation.
Post-operative immobilization was maintained for six weeks.

Implications:

The procedure resulted in excellent functional recovery, with a range of motion allowing for normal daily activities one year post-surgery.
This case highlights a viable surgical technique for managing chronic elbow instability in specific patient populations.