Complex Elbow Fracture-Dislocation in the South Korean Military

This study aimed to analyze the surgical outcomes of complex elbow fracture-dislocations treated at a Korean military hospital and to present optimal approaches and fixation strategies according to injury subtype.

A retrospective review was conducted on 10 patients who underwent surgical treatment for complex elbow fracture-dislocations between May 2023 and December 2024. Demographic data, injury mechanisms, fracture subtype, surgical approach, fixation methods, and clinical outcomes were reviewed. Functional outcomes were assessed using the Visual Analog Scale (VAS), Disabilities of the Arm, Shoulder and Hand (DASH) score, and Mayo Elbow Performance Score (MEPS). Radiographic bone union and postoperative complications were also evaluated.

The mean follow-up period was 14.5 months. All fractures achieved radiographic union at a mean of 9.1 weeks. At final follow-up, the mean VAS was 1.8, DASH 11.4, and MEPS 87.5, indicating generally good to excellent outcomes in most cases. The average range of motion was 8°-139° in flexion-extension and 74°-75° in pronation-supination. No cases of re-dislocation or nonunion were observed.

Complex elbow fracture-dislocations remain rare but challenging injuries. Proper selection of surgical approach and fixation method according to injury subtype can lead to favorable clinical outcomes. This study, the first from a Korean military hospital, provides practical insight into individualized surgical management.