Komang Agung Irianto, Komang and Raymond Parung, Raymond and William Putera Sukmajaya, William (2019) Open Reduction in neglected Elbow Dislocation In Children: A Case Series. Universa Medicina, 38 (1). ISSN 2407-2230

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Abstract

Abstract Background Elbow deformity in children due to neglected proper fracture management is a devastating condition. The stiffness and pain complicated the function in daily activity. Successful management of neglected elbow dislocation is a challenging problem for orthopedic surgeons. In this study, we aimed to evaluate results of open reduction for neglected elbow dislocation in children. Case Description This is a case series of 13-14 years old neglected elbow dislocations, for up to 15 months. Open reduction after external distractor and followed by intensive rehabilitation was implemented. Clinical and functional outcome were evaluated within 4-7 years. Initial average elbow flexion was 53,3°, extension was 0°, arc of flexion was 53,3°, arc of pronation-supination was 150° and Mayo Elbow Performance Index (MEPI) was 80. Clinical and functional outcome were evaluated within 4-7 years. At follow-up after open reduction, the improvement in whole range of movement was significant. Average elbow flexion was 118,3°, extension was 36,67°, arc of flexion was 81,67°, arc of pronation-supination was 133°. The average improvement of flexion was 65°, arc of flexion was 31,67°, and arc of pronation-supination was 8,3°. The average loss of flexion was 15,5%, arc of flexion was 44,2%, and arc of pronation-supination was 10,7% compared with uninjured side. The average Mayo Elbow Performance Index (MEPI) was 96,67; all with excellent results. Conclusion Planned and well execution open reduction in pediatric neglected elbow dislocation may bring back the painless movement within normal daily function.

Item Type:	Article
Subjects:	R Medicine > R Medicine (General) > R5-920 Medicine (General)
Divisions:	01. Fakultas Kedokteran > Orthopaedi dan Traumatologi
Creators:	Creators NIM Komang Agung Irianto, Komang NIDN8819130017 Raymond Parung, Raymond UNSPECIFIED William Putera Sukmajaya, William UNSPECIFIED
Depositing User:	arys fk
Date Deposited:	09 Apr 2023 21:30
Last Modified:	16 May 2023 07:46
URI:	http://repository.unair.ac.id/id/eprint/122665
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