J 2018

A Comparative Study of Conservative Functional Treatment versus Acute Ligamentous Repair in Simple Dislocation of the Elbow in Adults

KRTIČKA, Milan, Daniel IRA, Martin FLEK, Jan ŠVANCARA, Radek PIKULA et. al.

Základní údaje

Originální název

A Comparative Study of Conservative Functional Treatment versus Acute Ligamentous Repair in Simple Dislocation of the Elbow in Adults

Autoři

KRTIČKA, Milan (203 Česká republika, garant), Daniel IRA (203 Česká republika), Martin FLEK (203 Česká republika), Jan ŠVANCARA (203 Česká republika, domácí) a Radek PIKULA (203 Česká republika)

Vydání

INDIAN JOURNAL OF ORTHOPAEDICS, MUMBAI, WOLTERS KLUWER MEDKNOW PUBLICATIONS, 2018, 0019-5413

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30211 Orthopaedics

Stát vydavatele

Indie

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 0.978

Kód RIV

RIV/00216224:14110/18:00105370

Organizační jednotka

Lékařská fakulta

DOI

UT WoS

000449506200003

Klíčová slova anglicky

Collateral ligaments reconstruction; elbow instability; functional treatment; simple elbow dislocation

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 9. 2. 2019 19:47, Soňa Böhmová

Anotace

V originále

Background: Elbow dislocation is the second most frequent type of large joint dislocations in adults. Standard treatment of simple elbow dislocation (SED) without manifestation of instability includes closed reduction, short-tam immobilization of the elbow followed by functional aftercare. This study evaluates SED treatment, comparing outcomes of conservative functional treatment and surgical therapy. Materials and Methods: 54 adult patients with SED without manifest instability treated in tertiary hospital between January 2008 and June 2015 were analyzed in this retrospective study. 28 patients were treated conservatively. Closed elbow reduction was followed by short-term plaster splint and active rehabilitation. Twenty six patients underwent closed elbow reduction and subsequent reconstruction of torn collateral ligaments. Postoperatively, plaster splint was applied followed by rehabilitation. Results: Patients who were treated conservatively reached statistically significant better scores in Quick Disability Arm Shoulder Hand, Oxford Elbow Score, and Mayo Elbow Performance Score. Functional conservative treatment resulted in a higher range of motion. The complication rate was higher in the group of surgically treated patients. Conclusions: Careful examination of elbow stability after closed reduction of SED is crucial for further therapy. Patients with stable SED should be treated with functional conservative therapy. Surgical collateral ligaments revision and reconstruction an indicated only for patients with manifestation of elbow instability.