Neglected Elbow Dislocation: A Retrospective Look at Functional Recovery with Posterior Approach Surgery

Elbow dislocation is the second most frequent joint dislocation after the shoulder. In developing nations, untreated elbow dislocations are common, making management of neglected cases particularly challenging. Treatment approaches depend on the time since injury and the patient's age. This study evaluates the outcomes of posterior approach surgery for neglected elbow dislocations. Materials and methods: This retrospective study reviewed patients with neglected elbow dislocations treated via posterior approach surgery between January 2020 and December 2023 at Soeharso Orthopedic Hospital. Data collected included patient demographics, onset-to-surgery duration, and post-operative outcomes assessed by DASH and MEPI scores. All surgeries were performed by a board-certified hand and upper extremity surgeon. Data were analysed using Microsoft Office and IBM SPSS Statistics.

A total of 23 patients, predominantly male adults, underwent posterior approach surgery. The average time from onset to surgery was 7.83 months. Post-operative outcomes showed satisfactory results, with mean DASH and MEPI scores of 15.32 and 90, respectively.

Neglected elbow dislocations primarily affect adult males. The posterior approach offers several advantages and yields good functional outcomes, as demonstrated by DASH and MEPI scores.