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The internal joint stabilizer for chronic elbow dislocation: a surgical technique.

Luis M Salazar¹, Vaibhav Kanawade¹, Gautham Prabhakar¹

¹Department of Orthopaedics, UT Health San Antonio, San Antonio, TX, USA.

JSES Reviews, Reports, and Techniques

|August 17, 2023

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Treating chronic elbow dislocations is challenging. This study presents a surgical technique using an internal joint stabilizer to achieve stable reduction, enabling early motion and avoiding stiffness from prolonged immobilization.

Area of Science:

Orthopedic Surgery
Biomechanics
Musculoskeletal System

Background:

Chronic elbow dislocations present a significant challenge in orthopedic surgery.
Restoring joint stability and achieving a functional range of motion are often conflicting goals.
Standard treatments involve open reduction and prolonged immobilization, risking elbow stiffness.

Purpose of the Study:

To present a surgical technique for chronic elbow dislocations that prioritizes stable reduction for early mobilization.
To detail a method that avoids complications associated with prolonged immobilization and external fixation.
To introduce the use of an internal joint stabilizer as a safe and effective adjunct.

Main Methods:

A detailed surgical technique for chronic elbow dislocations is described.

Keywords:

Chronic elbow dislocation Elbow instability Elbow stiffness IJS Internal joint stabilizer

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The technique focuses on achieving stable joint reduction to permit early postoperative motion.

An internal joint stabilizer implant is utilized to enhance stability.

Main Results:

The presented surgical technique facilitates stable reduction and early mobilization.
This approach circumvents complications commonly seen with prolonged immobilization.
The internal joint stabilizer proves to be a safe and effective component of the management.

Conclusions:

The described surgical technique offers a reproducible method for managing chronic elbow dislocations.
Early motion is achievable, mitigating the risk of stiffness and improving functional outcomes.
Understanding the surgical indications and technique nuances is crucial for successful patient outcomes.