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Neglected posterior dislocation of the elbow. A reconstruction operation
The Journal of Bone and Joint Surgery. British Volume
|March 1, 1987
Summary
This study introduces a novel surgical technique for neglected posterior elbow dislocations, using tendon grafts to reconstruct ligaments. The method enables early rehabilitation and significantly improves elbow range of motion and stability.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Reconstructive Surgery
Background:
- Neglected posterior elbow dislocations present complex reconstructive challenges.
- Traditional treatments often yield suboptimal functional outcomes and persistent instability.
- Restoring medial collateral and cruciate ligamentous integrity is crucial for elbow stability.
Purpose of the Study:
- To describe a new surgical technique for repairing neglected posterior elbow dislocations.
- To evaluate the efficacy of tendon graft stabilization in restoring elbow function and stability.
- To assess the functional outcomes and patient satisfaction following the novel repair technique.
Main Methods:
- Open reduction of the posterior elbow dislocation.
- Stabilization using a tendon graft to reconstruct the medial collateral ligament (MCL) and an intra-articular cruciate ligament.
- Early initiation of active flexion-extension exercises starting six days postoperatively.
Main Results:
- Significant improvement in average range of motion from 38 degrees preoperatively to 105 degrees postoperatively (minimum two-year follow-up).
- Mean residual valgus-varus instability of only 13 degrees.
- High patient satisfaction reported, with one instance of postoperative infection.
Conclusions:
- The described tendon graft technique offers a viable solution for neglected posterior elbow dislocations.
- Early mobilization is feasible and contributes to favorable functional recovery.
- This reconstructive approach effectively restores elbow stability and range of motion, leading to high patient satisfaction.