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European Journal of Orthopaedic Surgery & Traumatology

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01-07-2017 | Original Article • ELBOW - TRAUMA

Analysis of complications after a floating elbow injury

Authors: Verónica Jiménez-Díaz, Ismael Auñón-Martín, Carlos Olaya-González, Miguel Aroca-Peinado, David Cecilia-López, Pedro Caba-Doussoux

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 5/2017

Abstract

Background

The aim of the present study is to analyse complications after a floating elbow injury, attempting to establish which of them act as a poor prognosis factor regarding clinical and functional results.

Materials and methods

Twenty-three patients who suffered a floating elbow injury, treated at our institution from 2004 to 2013, were retrospectively reviewed. Patients were divided into four groups depending on the type of injury. An analysis of demographic data, associated injuries, treatment options and complications was carried out. Clinical evaluation was made by a conventional goniometer, testing flexo-extension and prono-supination ranges. For functional evaluation, the Mayo Elbow Performance Score was employed. Association between radioulnar synostosis, articular surface disruption, nerve injury and clinical and functional results was analysed.

Results

Patients with radioulnar synostosis had worse results in functional evaluation than patients without it (56.6 vs. 75); this difference was statistically significant (p = 0.05). Regarding intra-articular extension, we found statistical association with worse results in functional evaluation (p = 0.018); however, nerve palsy does not seem to influence functional results.

Conclusions

Radioulnar synostosis and intra-articular extension of the injury are poor prognosis factor in floating elbow.

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Title: Analysis of complications after a floating elbow injury
Authors: Verónica Jiménez-Díaz
Ismael Auñón-Martín
Carlos Olaya-González
Miguel Aroca-Peinado
David Cecilia-López
Pedro Caba-Doussoux
Publication date: 01-07-2017
Publisher: Springer Paris
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 5/2017
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-016-1866-8

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Springer Medicine

Analysis of complications after a floating elbow injury

Abstract

Background

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Materials and methods

Results

Conclusions

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