Open Reduction Followed by Simple Rehabilitation in Neglected Elbow Dislocation: Evidence Based of Case Series
DOI:
https://doi.org/10.59452/czsv3374Keywords:
neglected elbow dislocation, Prolonged elbow dislocation, rehabilitation, open reduction elbow joint, MEPI, DASH, elbow st, untreated elbow dislocationAbstract
Introduction: Elbow dislocations account for approximately 20% of all joint dislocations. They are classified as neglected or chronic when left untreated or unreduced for more than three weeks following the injury. This condition is particularly common in developing countries like Indonesia, largely due to delays in diagnosis and inadequate initial treatment. The purpose of this study is to present three cases of neglected elbow dislocations in adult patients, all of whom were treated with open reduction.
Case Description: This case series involves two adult patients with neglected elbow dislocations who underwent open reduction. Clinical and functional outcomes were assessed over a follow-up period of 4 to 9 months. The case highlighted favorable outcomes due to timely and appropriate therapy. At follow-up after open reduction, all patients experienced significant improvements in their overall range of motion. The average elbow flexion-extension for two cases achieved 45°-175°. Pronation-supination range was 80°-90°. The postoperative Mayo Elbow Performance Index (MEPI) averaged 88.33, while the Disabilities of the Arm, Shoulder, and Hand (DASH) scores were 5.8 and 8.3, respectively for each patient. All patient’s rehabilitation program involves passive range of motion (ROM) exercises and followed by active range of motion exercises.
Method: This systematic review, following PRISMA guidelines assesses rehabilitation protocols for adult patients after elbow dislocation surgery. Using the PICO framework, relevant studies were selected from major databases up to 2024. Two independent researchers screened studies, focusing on functional outcomes of post-operative rehabilitation. Key data, including study design, and intervention details are summarized in evidence tables.
Result: This process left 6 studies that met all inclusion criteria. Open Reduction followed by early simple rehabilitation was associated with good outcomes in patient with elbow dislocation.
Conclusion: Open reduction followed by early and simple rehabilitation interventions is an effective treatment approach for patients with neglected elbow dislocations.
