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Functional outcomes and complications of open elbow dislocations
BACKGROUND: The current study investigated the clinical outcome of open elbow dislocations, focusing on the influence of associated soft tissue and bone injury. PATIENTS AND METHODS: From October 2008 to August 2015, 230 patients with elbow dislocations were treated at the study center. Our retrospe...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Medizin
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132405/ https://www.ncbi.nlm.nih.gov/pubmed/30220921 http://dx.doi.org/10.1007/s11678-018-0466-0 |
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author | Schnetzke, Marc Porschke, Felix Kneser, Ulrich Studier-Fischer, Stefan Grützner, Paul-Alfred Guehring, Thorsten |
author_facet | Schnetzke, Marc Porschke, Felix Kneser, Ulrich Studier-Fischer, Stefan Grützner, Paul-Alfred Guehring, Thorsten |
author_sort | Schnetzke, Marc |
collection | PubMed |
description | BACKGROUND: The current study investigated the clinical outcome of open elbow dislocations, focusing on the influence of associated soft tissue and bone injury. PATIENTS AND METHODS: From October 2008 to August 2015, 230 patients with elbow dislocations were treated at the study center. Our retrospective study comprised 21 cases of open elbow dislocations. The mean age of patients was 49 years (20–83 years); there were six (29%) female and 15 (71%) male patients. The range of motion (ROM) of the injured and uninjured elbow was measured, and the Mayo Elbow Performance Score (MEPS), Mayo Wrist Score (MWS), and Disability of Arm, Shoulder and Hand (DASH) score were assessed. Complications and revision surgeries were recorded. The influence of the severity of soft tissue injury (I°/II° open vs. III° open) and type of dislocation (simple vs. complex) was evaluated. RESULTS: After a 57-month follow-up (range, 24–98 months), the mean DASH score was 20 ± 15, the MEPS was 82 ± 11, and the MWS was 74 ± 22. The ROM of the injured elbow was significantly decreased compared with the uninjured one (arc of ulnohumeral motion: 104° vs. 137°; p = 0.001). Patients with I°/II° open elbow dislocations had a better clinical outcome according to the MEPS (86 ± 11 vs. 76 ± 9; p = 0.045) and a comparable outcome according to the DASH score (19 ± 18 vs. 21 ± 9; p = 0.238). In all, 11 patients (52%) had postoperative complications and 11 patients underwent at least one revision surgery. Complex elbow dislocations had significantly more complications and revision surgeries than simple dislocations (77% vs. 13%; p = 0.008). CONCLUSION: Favorable clinical outcomes can be achieved after treatment of open elbow dislocations. These injuries are prone to neurovascular damage and complex dislocations are linked to high rates of complications and revision surgeries. |
format | Online Article Text |
id | pubmed-6132405 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer Medizin |
record_format | MEDLINE/PubMed |
spelling | pubmed-61324052018-09-14 Functional outcomes and complications of open elbow dislocations Schnetzke, Marc Porschke, Felix Kneser, Ulrich Studier-Fischer, Stefan Grützner, Paul-Alfred Guehring, Thorsten Obere Extrem Original Contribution BACKGROUND: The current study investigated the clinical outcome of open elbow dislocations, focusing on the influence of associated soft tissue and bone injury. PATIENTS AND METHODS: From October 2008 to August 2015, 230 patients with elbow dislocations were treated at the study center. Our retrospective study comprised 21 cases of open elbow dislocations. The mean age of patients was 49 years (20–83 years); there were six (29%) female and 15 (71%) male patients. The range of motion (ROM) of the injured and uninjured elbow was measured, and the Mayo Elbow Performance Score (MEPS), Mayo Wrist Score (MWS), and Disability of Arm, Shoulder and Hand (DASH) score were assessed. Complications and revision surgeries were recorded. The influence of the severity of soft tissue injury (I°/II° open vs. III° open) and type of dislocation (simple vs. complex) was evaluated. RESULTS: After a 57-month follow-up (range, 24–98 months), the mean DASH score was 20 ± 15, the MEPS was 82 ± 11, and the MWS was 74 ± 22. The ROM of the injured elbow was significantly decreased compared with the uninjured one (arc of ulnohumeral motion: 104° vs. 137°; p = 0.001). Patients with I°/II° open elbow dislocations had a better clinical outcome according to the MEPS (86 ± 11 vs. 76 ± 9; p = 0.045) and a comparable outcome according to the DASH score (19 ± 18 vs. 21 ± 9; p = 0.238). In all, 11 patients (52%) had postoperative complications and 11 patients underwent at least one revision surgery. Complex elbow dislocations had significantly more complications and revision surgeries than simple dislocations (77% vs. 13%; p = 0.008). CONCLUSION: Favorable clinical outcomes can be achieved after treatment of open elbow dislocations. These injuries are prone to neurovascular damage and complex dislocations are linked to high rates of complications and revision surgeries. Springer Medizin 2018-06-11 2018 /pmc/articles/PMC6132405/ /pubmed/30220921 http://dx.doi.org/10.1007/s11678-018-0466-0 Text en © The Author(s) 2018 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Contribution Schnetzke, Marc Porschke, Felix Kneser, Ulrich Studier-Fischer, Stefan Grützner, Paul-Alfred Guehring, Thorsten Functional outcomes and complications of open elbow dislocations |
title | Functional outcomes and complications of open elbow dislocations |
title_full | Functional outcomes and complications of open elbow dislocations |
title_fullStr | Functional outcomes and complications of open elbow dislocations |
title_full_unstemmed | Functional outcomes and complications of open elbow dislocations |
title_short | Functional outcomes and complications of open elbow dislocations |
title_sort | functional outcomes and complications of open elbow dislocations |
topic | Original Contribution |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132405/ https://www.ncbi.nlm.nih.gov/pubmed/30220921 http://dx.doi.org/10.1007/s11678-018-0466-0 |
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