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.

Basic information

Original name

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

Authors

KRTIČKA, Milan (203 Czech Republic, guarantor), Daniel IRA (203 Czech Republic), Martin FLEK (203 Czech Republic), Jan ŠVANCARA (203 Czech Republic, belonging to the institution) and Radek PIKULA (203 Czech Republic)

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30211 Orthopaedics

Country of publisher

India

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 0.978

RIV identification code

RIV/00216224:14110/18:00105370

Organization unit

Faculty of Medicine

DOI

UT WoS

000449506200003

Keywords in English

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

Tags

Tags

International impact, Reviewed
Změněno: 9/2/2019 19:47, Soňa Böhmová

Abstract

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.