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A case report demonstrates surgical stabilization yields favorable functional recovery in elbow dislocation and fracture.
Elbow dislocation is the second-most common dislocation in the upper extremity, typically following shoulder dislocation. While simple dislocations are usually treated with closed reduction and early mobilization, complex injuries involving associated fractures require surgical management. We present a rare case of a 28-year-old female who sustained a fall on an outstretched hand, resulting in a lateral condyle fracture of the humerus combined with an elbow dislocation. The patient underwent open reduction and internal fixation using a posterior paratricipital approach, followed by early postoperative mobilization. This intervention facilitated joint stability and promoted functional recovery. At 18 months postoperatively, the patient achieved a Mayo Elbow Performance Index score of 100, Oxford Elbow Score of 48, visual analogue score of 0, and a flexion–extension arc of 135°–10°, with full pronation and supination. This case underscores the importance of prompt recognition and surgical stabilization of such complex elbow injuries. Early initiation of controlled range of motion after rigid fixation plays a critical role in achieving favorable outcomes.
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Shrestha et al. (2023) studied this question.
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