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Volume 8 Issue 6 (June, 2020)

Original Articles

Acute ligamentous repair of the elbow versus functional treatment of patients with simple elbow dislocation
Dr. Megha R. Dubey, Dr. Jayant Kumar Rai, Dr. Ajit Kumar Verma

Background: Elbow dislocation is the second most frequent type of large joint dislocations in adults. The present study was conducted to compare acute ligamentous repair of the elbow compared to the functional treatment of patients with SED. Materials & Methods: 60 patients with elbow dislocation were divided into 2 groups of 30 each. Group I patients were managed with closed reduction of elbow. Group II patients were managed with closed elbow reduction and subsequent reconstruction of torn collateral ligaments. Outcome of the treatment was compared. Results: Group I had 20 males and 10 females and group II had 18 males and 12 females. Type of dislocation was posterior seen in 15 in group I and 17 in group II, postero- lateral seen 10 in group I and 11 in group II, postero- medial seen 4 in group I and 1 in group II and lateral seen 1 each in group I and II. Side of dislocation was left side in 16 15 in group I and II respectively, right side seen in 14 and 15 in group I and II respectively. Clinical outcome was excellent seen in 25 in group I and 12 in group II, good in 5 in group I and 15 in group II, fair seen in 2 in group II and poor seen 1 in group II. The difference was significant (P< 0.05). Conclusion: Surgical collateral ligaments revision and reconstruction are indicated only for patients with manifestation of elbow instability. Key words: Collateral ligament, Elbow instability, Surgery.

 
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