Long-Term Follow-up (14 to 25 Years) Following Closed Reduction and Early Movement for Simple Dislocation of the Elbow.

Autor:	Mackinnon T; Department of Trauma and Orthopaedic Surgery, St. Mary's Hospital, Imperial College Healthcare NHS Trust, London, England., Samuel TD; Department of Trauma and Orthopaedic Surgery, St. Mary's Hospital, Imperial College Healthcare NHS Trust, London, England., Hayter E; Department of Trauma and Orthopaedic Surgery, St. Mary's Hospital, Imperial College Healthcare NHS Trust, London, England., Lee G; Department of Trauma and Orthopaedic Surgery, St. Mary's Hospital, Imperial College Healthcare NHS Trust, London, England., Huntley D; Department of Trauma and Orthopaedic Surgery, St. Mary's Hospital, Imperial College Healthcare NHS Trust, London, England., Hardman J; Department of Trauma and Orthopaedic Surgery, St. Mary's Hospital, Imperial College Healthcare NHS Trust, London, England., Anakwe RE; Department of Trauma and Orthopaedic Surgery, St. Mary's Hospital, Imperial College Healthcare NHS Trust, London, England.; Imperial College London, London, England.
Jazyk:	angličtina
Zdroj:	The Journal of bone and joint surgery. American volume [J Bone Joint Surg Am] 2023 Oct 04; Vol. 105 (19), pp. 1489-1493. Date of Electronic Publication: 2023 Aug 24.
DOI:	10.2106/JBJS.23.00288
Abstrakt:	Background: We have previously reported on the midterm outcomes after a nonoperative protocol to treat simple dislocations of the elbow that included a short period of splinting followed by early movement. We have now performed extended follow-up of the original patient group from the prior study to determine whether the excellent results that previously had been reported were maintained in the long term and also to determine the rate of and need for any late surgical intervention. Methods: We attempted to contact all of the patients from the original study group. We requested that they complete the Oxford Elbow Score (OES) survey, the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, and a validated patient satisfaction questionnaire. Patients also were requested to attend a face-to-face assessment to have a clinical examination that included neurovascular, range-of-motion, and ligamentous stability assessments. Results: Seventy-one patients from the original patient group agreed to participate in the new study. The mean duration of follow-up was 19.3 years. At the time of the final follow-up, patients reported excellent functional outcome scores and a preserved functional range of movement in the injured elbow. The mean OES was 91.6 points, the mean DASH score was 5.22 points, and the mean satisfaction score was 90.9 points. None of the patients had undergone delayed or secondary surgery for instability during the interval period. Conclusions: This study demonstrated that the original excellent outcomes following treatment with a protocol of a short period of splinting and early movement remained excellent and were maintained into the very long term. Level of Evidence: Therapeutic Level IV . See Instructions for Authors for a complete description of levels of evidence. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article ( http://links.lww.com/JBJS/H650 ). (Copyright © 2023 The Authors. Published by The Journal of Bone and Joint Surgery, Incorporated. All rights reserved.)
Databáze:	MEDLINE
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