کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4066982 1604358 2015 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Complications Associated With Hinged External Fixation for Chronic Elbow Dislocations
ترجمه فارسی عنوان
عوارض جانبی مرتبط با رفع اگزوز خارجی برای مفاصل مزمن آرنج
کلمات کلیدی
جابجایی آرنج، پای ثابت خارجی جابجایی مزمن
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

PurposeTo evaluate the outcomes of patients who underwent application of hinged external fixators for chronic elbow fracture-dislocations. We hypothesized that patients treated for this injury pattern can achieve satisfactory outcomes but encounter many complications and require numerous additional procedures.MethodsWe performed a retrospective review of 7 patients who were surgically treated with application of a hinged external fixator for chronic ulnohumeral elbow fracture-dislocation. Patients were included only if they had complete ulnohumeral dislocation of greater than 1 month’s duration. Demographics, injury pattern, and range of motion were documented. Preoperative and postoperative range of motion was recorded and any treatment complications or additional surgeries were noted.ResultsThe interval between the initial injury and index procedure averaged 8 months. All patients underwent initial treatment with open reduction internal fixation. Average arc of ulnohumeral motion improved from 26° (range, 0° to 60°) to 120° (range, 100° to 145°). Overall, 4 of 7 patients developed at least one complication during treatment. Three patients required additional procedures aside from removal of the hinged external fixator. These 3 patients underwent a total of 13 additional procedures.ConclusionsAlthough patients can achieve good outcomes, realistic expectations should be set. Patients should be aware that surgery can be associated with a high risk of complications, potential treatment failure, and a need for additional surgical procedures.Type of study/level of evidenceTherapeutic IV.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Hand Surgery - Volume 40, Issue 4, April 2015, Pages 730–737
نویسندگان
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