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首页> 外文期刊>Injury >Neglected posterior dislocation of the elbow.
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Neglected posterior dislocation of the elbow.

机译：被忽视的肘后脱位。

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The study included two adults and four children who underwent open reduction for subacute, untreated posterior dislocation of the elbow. Elbow stiffness was the main indication for surgery, and in all cases elbow movement was inadequate for the activities of daily living. Mean time from injury was 2 months and mean follow-up was 19 months. At final follow-up there were no cases of instability; according to the Mayo Elbow Performance Index(14), four outcomes were excellent, one good and one poor; the mean score improved from five preoperatively to 83 postoperatively, mean elbow flexion from 18 degrees to 93 degrees and mean pronation-supination from 20 degrees to 119 degrees. Complications included pin site infections in one case, treated by oral antibiotics and dressings, and severe degenerative changes with myositis ossificans in one case. Open reduction and V-Y muscleplasty followed by a supervised physical therapy programme can restore elbow function and stability in neglected elbow dislocations presenting up to 3 months after injury.
机译：该研究包括两名成人和四个儿童，他们因亚急性，未经治疗的肘关节后脱位而进行了切开复位术。肘部僵硬是手术的主要指征，在所有情况下，肘部运动均不足以进行日常生活活动。受伤平均时间为2个月，平均随访时间为19个月。在最后的随访中，没有出现不稳定的情况。根据Mayo肘关节绩效指数（14），有4项结果为优，一项为好，一项为差。平均得分从术前的5个提高到术后的83个，平均肘屈从18度提高到93度，平均旋前俯仰度从20度提高到119度。并发症包括1例发生别针部位感染，通过口服抗生素和敷料治疗，以及1例因骨化性肌炎而发生严重的退行性改变。切开复位和V-Y肌肉成形术以及有监督的物理治疗程序可以恢复受伤后3个月内出现的被忽视的肘关节脱位的肘关节功能和稳定性。

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