Open reduction and Kirschner wire fixation with triceps lengthening for neglected elbow dislocations

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dc.contributor.authorKapukaya, Ahmet
dc.contributor.authorUcar, Bekir Yavuz
dc.contributor.authorGem, Mehmet
dc.date.accessioned2024-04-24T17:14:46Z
dc.date.available2024-04-24T17:14:46Z
dc.date.issued2013
dc.departmentDicle Üniversitesien_US
dc.description.abstractPurpose. To evaluate outcome of open reduction and Kirschner wire fixation with triceps lengthening for neglected elbow dislocations. Methods. Records of 6 women and 14 men aged 7 to 60 (mean, 20) years who underwent open reduction and Kirschner wire fixation with triceps lengthening for neglected elbow dislocations were reviewed. The dislocations were posterolateral (n=11), posterior (n=4), and posteromedial (n=5). No patient had a neurologic deficit. Elbow stiffness was the main indication for surgery. The duration of dislocation was 25 to 45 days in 11 patients and >45 days in 9; the mean was 47 days. The Mayo Elbow Performance Index (MEPI) was used to assess outcome at the final follow-up. The maximum score was 100. Scores of 90 to 100 were considered excellent, 75 to 89 good, 60 to 74 fair, and <60 poor. Results. The mean follow-up period was 39.1 months. At the final follow-up, the mean MEPI score was 79.3; outcome was excellent in 6 patients, good in 8, fair in 4, and poor in 2. The mean MEPI was 86.4 and 70.6 for patients with <= 45 and >45 days of dislocation, respectively. The mean range of movement improved from 20 degrees to 84.5 degrees (p<0.001). The 2 groups were significantly different in terms of MEPI (p=0.005) and range of movement (p=0.001). The MEPI correlated negatively with the duration of dislocation (r=-0.562, p=0.01). The range of movement correlated negatively with patient age (r=-0.649, p=0.002). Conclusion. Open reduction and Kirschner wire fixation with triceps lengthening, together with active postoperative elbow movements achieved favourable results for neglected elbow dislocations, especially in younger patients and those in whom the duration of dislocation was <45 days.en_US
dc.identifier.doi10.1177/230949901302100212
dc.identifier.endpage181en_US
dc.identifier.issn2309-4990
dc.identifier.issue2en_US
dc.identifier.pmid24014779
dc.identifier.scopus2-s2.0-84899035485
dc.identifier.scopusqualityQ2
dc.identifier.startpage178en_US
dc.identifier.urihttps://doi.org/10.1177/230949901302100212
dc.identifier.urihttps://hdl.handle.net/11468/18181
dc.identifier.volume21en_US
dc.identifier.wosWOS:000346628800012
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSage Publications Incen_US
dc.relation.ispartofJournal of Orthopaedic Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBone Wiresen_US
dc.subjectDislocationsen_US
dc.subjectElbow Jointen_US
dc.titleOpen reduction and Kirschner wire fixation with triceps lengthening for neglected elbow dislocationsen_US
dc.titleOpen reduction and Kirschner wire fixation with triceps lengthening for neglected elbow dislocations
dc.typeArticleen_US

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