Treatment of neglected elbow dislocations with the help of hinged external fixator: Report of two cases

Erol, Mehmet Fatih; KARAKOYUN, Özgür; Küçükkaya, Metin

Treatment of neglected elbow dislocations with the help of hinged external fixator: Report of two cases

Özgür KARAKOYUN, (Namık Kemal Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Tekirdağ, Türkiye)

Mehmet Fatih EROL, (Namık Kemal Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Tekirdağ, Türkiye)

Metin KÜÇÜKKAYA (Bilim Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye)

Journal of Clinical and Experimental Investigations

2 0

Yıl: 2014 Cilt: 5 Sayı: 2 Sayfa Aralığı: 307 - 312 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Treatment of neglected elbow dislocations with the help of hinged external fixator: Report of two cases

Öz:

Dirsek çıkığı hemen tedavi edilmesi gereken acil bir durumdur. Gözden kaçırılmış dirsek çıkıkları nadiren görülür ve tedavileri akut olgulara nazaran daha komplikedir. Bu yazımızda açık redüksiyon ve menteşeli eksternal fiksatör ile tedavi ettiğimiz atlanmış iki dirsek çıkığı olgusunu sunuyoruz1. Olgu: 23 yaşında bayan hasta trafik kazası sonrası ipsilateral humerus diafiz kırığının eşlik ettiği atlanmış bir sol posterior dirsek çıkığı olgusu. Hasta kliniğimize travma sonrası 3. Ayda başvurdu. Çıkık açık olarak redükte edildi ve menteşeli bir eksternal fiksatör ile tespit edildi. Humerus diafiz kırığı da menteşeli fiksatöre ilave edilen parçalar ile eksternal olarak tespit edildi.2. Olgu: 33 yaşında erkek hasta dirsek çevresi geniş yumuşak doku ve kemik defekti olan atlanmış bir sol medial dirsek çıkığı olgusuydu. Yumuşak doku örtüm cerrahileri geçiren hasta kliniğimize 2 aylık bir gecikme ile refere edildi. Hastaya açık redüksiyon uygulandı humerus distalindeki kemik defekti otojen greft ile rekonstrükte edildikten sonra menteşeli eksternal fiksatör ile tespit yapıldı.Sonuç: Atlanmış dirsek çıkığı olgularının tedavisi oldukça zordur. Bu olgularda açık redüksiyon ve eksternal fiksatör tatbiki erken rehabilitasyona da izin vermesi ile tatminkâr sonuçlar vermektedir. Bu yöntem böyle olguların tedavisinde bir seçenek olarak değerlendirilebilir.

Anahtar Kelime:

Konular: Cerrahi

İhmal edilmiş dirsek çıkıklarının menteşeli eksternal fiksatör yardımı ile tedavisi: 2 olgu sunumu

Öz:

Elbow dislocations are cases that have to be treated in emergency conditions. Neglected elbow dislocations are seen very rarely and the treatment of such cases are more complicated than acute cases. We present two cases of neglected elbow dislocations treated with open reduction and hinged external fixators.Case 1: 23 year old female patient had a neglected posterior dislocation of left elbow with ipsilateral humeral shaft fracture caused by car accident. The patient was treated after 3 months of initial trauma. We have performed open reduction for the joint. After that we fixed the joint whit a hinged external fixator. The humeral shaft fracture was also fixed with the components of the external fixator.Case 2: 33 year male patient had a large bone and soft tissue defect around the left elbow accompanying with neglected medial elbow dislocation. He presented to our clinic with a delay of 2 months. The patient was treated with open reduction and hinged external fixator after reconstruction of bone defect of distal humerus.Conclusion: The treatment of neglected cases is quite challenging. Open reduction and external fixation has satisfactory results in treatment of late cases of elbow dislocation with the possibility of early rehabilitation. This method can be considered as an option for such cases.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

Campbell's Operative Orthopaedics Eleventh Edition. Mosby Elsevier; 2008. p. 3408-3409.
Kapukaya A, Ucar BY, Gem M. Open reduction and Kirschner wire fixation with triceps lengthen- ing for neglected elbow dislocations. J Orthop Surg 2013;21:178-181.
Mahaisavariya B, Laupattarakasem W, Supachutikul A, et al. Late reduction of dislocated elbow. Need triceps be lengthened? J Bone Joint Surg 1993;75:426-428.
Coulibaly NF, Tiemdjo H, Sane AD, et al. Posterior approach for surgical treatment of neglected elbow dislocation. Orthopaedics & traumatology, surgery & research: OTSR 2012;98:552-558.
Schaeffeler C, Waldt S, Woertler K. Traumatic instabil- ity of the elbow - anatomy, pathomechanisms and pre- sentation on imaging. Eur Radiol 2013;23:2582-2593.
Elzohairy MM. Neglected posterior dislocation of the elbow. Injury 2009;40:197-200.
Mehta S, Sud A, Tiwari A, Kapoor SK. Open reduction for late-presenting posterior dislocation of the elbow. J Orthop Surg 2007;15:15-21.

APA	KARAKOYUN Ö, Erol M, Küçükkaya M (2014). Treatment of neglected elbow dislocations with the help of hinged external fixator: Report of two cases. , 307 - 312.
Chicago	KARAKOYUN Özgür,Erol Mehmet Fatih,Küçükkaya Metin Treatment of neglected elbow dislocations with the help of hinged external fixator: Report of two cases. (2014): 307 - 312.
MLA	KARAKOYUN Özgür,Erol Mehmet Fatih,Küçükkaya Metin Treatment of neglected elbow dislocations with the help of hinged external fixator: Report of two cases. , 2014, ss.307 - 312.
AMA	KARAKOYUN Ö,Erol M,Küçükkaya M Treatment of neglected elbow dislocations with the help of hinged external fixator: Report of two cases. . 2014; 307 - 312.
Vancouver	KARAKOYUN Ö,Erol M,Küçükkaya M Treatment of neglected elbow dislocations with the help of hinged external fixator: Report of two cases. . 2014; 307 - 312.
IEEE	KARAKOYUN Ö,Erol M,Küçükkaya M "Treatment of neglected elbow dislocations with the help of hinged external fixator: Report of two cases." , ss.307 - 312, 2014.
ISNAD	KARAKOYUN, Özgür vd. "Treatment of neglected elbow dislocations with the help of hinged external fixator: Report of two cases". (2014), 307-312.

APA	KARAKOYUN Ö, Erol M, Küçükkaya M (2014). Treatment of neglected elbow dislocations with the help of hinged external fixator: Report of two cases. Journal of Clinical and Experimental Investigations, 5(2), 307 - 312.
Chicago	KARAKOYUN Özgür,Erol Mehmet Fatih,Küçükkaya Metin Treatment of neglected elbow dislocations with the help of hinged external fixator: Report of two cases. Journal of Clinical and Experimental Investigations 5, no.2 (2014): 307 - 312.
MLA	KARAKOYUN Özgür,Erol Mehmet Fatih,Küçükkaya Metin Treatment of neglected elbow dislocations with the help of hinged external fixator: Report of two cases. Journal of Clinical and Experimental Investigations, vol.5, no.2, 2014, ss.307 - 312.
AMA	KARAKOYUN Ö,Erol M,Küçükkaya M Treatment of neglected elbow dislocations with the help of hinged external fixator: Report of two cases. Journal of Clinical and Experimental Investigations. 2014; 5(2): 307 - 312.
Vancouver	KARAKOYUN Ö,Erol M,Küçükkaya M Treatment of neglected elbow dislocations with the help of hinged external fixator: Report of two cases. Journal of Clinical and Experimental Investigations. 2014; 5(2): 307 - 312.
IEEE	KARAKOYUN Ö,Erol M,Küçükkaya M "Treatment of neglected elbow dislocations with the help of hinged external fixator: Report of two cases." Journal of Clinical and Experimental Investigations, 5, ss.307 - 312, 2014.
ISNAD	KARAKOYUN, Özgür vd. "Treatment of neglected elbow dislocations with the help of hinged external fixator: Report of two cases". Journal of Clinical and Experimental Investigations 5/2 (2014), 307-312.