A Comparative Study of Conservative Functional Treatment versus Acute Ligamentous Repair in Simple Dislocation of the Elbow in Adults
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F18%3A00069873" target="_blank" >RIV/65269705:_____/18:00069873 - isvavai.cz</a>
Alternative codes found
RIV/00216224:14110/18:00105370
Result on the web
<a href="http://www.ijoonline.com/article.asp?issn=0019-5413;year=2018;volume=52;issue=6;spage=584;epage=589;aulast=Krticka" target="_blank" >http://www.ijoonline.com/article.asp?issn=0019-5413;year=2018;volume=52;issue=6;spage=584;epage=589;aulast=Krticka</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.4103/ortho.IJOrtho_578_16" target="_blank" >10.4103/ortho.IJOrtho_578_16</a>
Alternative languages
Result language
angličtina
Original language name
A Comparative Study of Conservative Functional Treatment versus Acute Ligamentous Repair in Simple Dislocation of the Elbow in Adults
Original language description
Background: Elbow dislocation is the second most frequent type of large joint dislocations in adults. Standard treatment of simple elbow dislocation (SED) without manifestation of instability includes closed reduction, short-tam immobilization of the elbow followed by functional aftercare. This study evaluates SED treatment, comparing outcomes of conservative functional treatment and surgical therapy. Materials and Methods: 54 adult patients with SED without manifest instability treated in tertiary hospital between January 2008 and June 2015 were analyzed in this retrospective study. 28 patients were treated conservatively. Closed elbow reduction was followed by short-term plaster splint and active rehabilitation. Twenty six patients underwent closed elbow reduction and subsequent reconstruction of torn collateral ligaments. Postoperatively, plaster splint was applied followed by rehabilitation. Results: Patients who were treated conservatively reached statistically significant better scores in Quick Disability Arm Shoulder Hand, Oxford Elbow Score, and Mayo Elbow Performance Score. Functional conservative treatment resulted in a higher range of motion. The complication rate was higher in the group of surgically treated patients. Conclusions: Careful examination of elbow stability after closed reduction of SED is crucial for further therapy. Patients with stable SED should be treated with functional conservative therapy. Surgical collateral ligaments revision and reconstruction an indicated only for patients with manifestation of elbow instability.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30211 - Orthopaedics
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2018
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Indian Journal of Orthopaedics
ISSN
0019-5413
e-ISSN
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Volume of the periodical
52
Issue of the periodical within the volume
6
Country of publishing house
IN - INDIA
Number of pages
6
Pages from-to
584-589
UT code for WoS article
000449506200003
EID of the result in the Scopus database
2-s2.0-85056198562