Surgigical Treatment of Complex Elbow Fracture Dislocation- Case Report and Literature Review

Some elbow fracture dislocations are difficult to evaluate thoroughly before treatment. The overlapped bony images msdkminor fractures. The prognosis of complex elbow instability is guarded if the fracture and dislocation were not properly fixed along with a good rehabilitation program. We presented a case of 48-year-old man treated with closed reduction of left elbow dislocation, whose type I coronoid fracture had failed to be diagnosed before closed reduction. Than open reduction and internal fixation of coronoid and repair of medial collateral ligament were performed due to persistent instability. Alternative flexion-extension extensiom exercise on turnbuckle with 2 hours interval was arranged for rehabilitation. A motion ace from 15∘to 130∘was achieved 1 month after operation and there is no further instability. The Mayo elbow performance score is 100after 7 months of follow-up with range of motion from 0∘to 130∘. Although type I coronoid fracture is not an absolute indication for internal fixation, this case was complicated with post-reduction instability and greater than 90 degrees flexion is required to mainelbow reduction. In this case experience, we found the minor fracture should not be overlooked and early restoration of stability with fracture fixation and ligament reconstruction is the key to better result.

並列關鍵字

Elbow fracture dislocation ； Ligament repair

國際替代計量

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