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| Year : 1997 | Volume
: 31
| Issue : 3 | Page : 193-195 |
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Neglected Elbow Dislocation In Children
S. S Gill, M. S Dhillon, Ravi Gupta
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Correspondence Address:
S. S Gill
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Twenty five cases of neglected elbow dislocation were seen over a 6 year period, with myositis ossificans in 20 cases. All cases were operated without waiting for myositis maturity. In 5 cases with no myositis, the triceps was not cut and the elbow was approached though two posteromedial and posterolateral incisions. At average follow up 2.3years, an average flexion of 850 had been achieved in the functional are. There was no significant recurrence of myositis but residual stiffness was a problem in the cases where the triceps had not been cut. Some ROM will always be achieved irrespective of recurrence of myositis and stability will not be compromised. Relatively early open reduction, with a triceps splitting approach, and early supervised ROM are the key to getting good function. |
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