Vikram Khanna; Ashish Gupta; Sanjeev Kumar
Volume 5, Issue 4 , October 2017, , Pages 259-265
Abstract
Objective: To assess the outcome long standing ulno-humeral dislocation managed by open reduction and stabilization with V-Y plasty.Methods: This cross-sections study included 14 patients with elbow dislocation that was more than 3 months without joint ankylosis, myositis ossificans or nerve injury. ...
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Objective: To assess the outcome long standing ulno-humeral dislocation managed by open reduction and stabilization with V-Y plasty.Methods: This cross-sections study included 14 patients with elbow dislocation that was more than 3 months without joint ankylosis, myositis ossificans or nerve injury. The surgical management not only included open reduction of the elbow joint, but also elongation of the triceps aponeurosis, collateral ligament repair along with the stabilization of the elbow joint. The results were analyzed using the Mayo Elbow score and the range of motion at 3 months and results were compared with the function of the patients elbows before surgery.Results: Among the 14 included patients, there were 9 (64.3%) men and 5 (35.7%) women. The mean age of the patients was 27.8 ± 8.3 (ranging from 21 to 34) years. The average ROM at the time of admission was found to be 37.0° ± 25.8° (10° to 65°) in flexion and 15.5° ± 14.6° (0° to 30°) in extension lag. Patients’ preoperative Mayo clinic elbow performance assessment showed an index score of 47.3 ± 10.3 (range of 35 to 53).Conclusion: This results of the current study demonstrates that relative good function with a pretty low risk can be obtained when comparing the functional results after 3 months with preoperative status. Based on these results we recommend that neglected elbow dislocation should be managed by surgical intervention even if the dislocations are old.
Sarabjeet Kohli; Vikram Khanna; Nilesh Virani; Hemant Chaturvedi
Volume 4, Issue 1 , January 2016, , Pages 54-57
Abstract
Carpal injuries are uncommon and are mainly seen in the younger age group. The incidence is unclear as many of the cases go undiagnosed. A 22-year-old male patient coming to the hospital after road traffic accident with head, face and left wrist injury. After immediate primary management the patient ...
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Carpal injuries are uncommon and are mainly seen in the younger age group. The incidence is unclear as many of the cases go undiagnosed. A 22-year-old male patient coming to the hospital after road traffic accident with head, face and left wrist injury. After immediate primary management the patient was taken up for a definitive procedure 4 days after the injury. Scaphoid fracture was fixed with the help of Herbert’s screw via the dorsal approach. The base of the first metacarpal was fixed with the help of JESS fixator and the distal end radius was fixed with the help of K-wires. The scapholunate and lunato triquetral ligaments were repaired. The whole construct was stabilized with the help of an external fixator. Postoperative period was uneventful. The external fixator was removed after 4 weeks and patient had a good functional outcome with the patient related wrist evaluation score coming out to be 11 at the end of the third month. This uncommon case of Transradial, Trans scaphoid, transcapitate, and perilunate dislocation was managed successfully with no postoperative complications and a good functional outcome.