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Table 2 Surgical treatment of simple elbow dislocations

From: Treatment strategies for simple elbow dislocation - a systematic review

Author (Year)

Studydesign (SD)

n

Middle Follow-up (in months)

Intervention

Control group

Primary outcome parameters

Secondary outcome parameters

Redislocaction

Rafai, M. (1999) [27]

RCT

50

-

reduction followed by early mobilization (n = 24)

reduction followed by immobilization for 3 weeks (n = 26)

-

Extension deficit: INT: CG 4%: 19%

-

Wu, X. (2017) [29]

RCS

44

15

combined posterior lateral and anteromedial approach

Conservative treatment

MEPS: INT: CG postoperative 89.9: 50.4

Range of motion postoperative: flexion INT: CG 116.5°: 79.5°

-

Josefsson (1987) [30]

PRS

50

-

surgical treatment of the ligamentous injuries

nonsurgical treatment of the ligamentous injuries

 

extension deficit: INT: CG 18: 10; residual pain 50% in both groups

-

Duckworth (2008) [31]

RCS

14

27

lateral + medial ligamentous injuries

isolated surgery lateral

BMS: INT: CG 87.7: 87.2 (p < 0.05)

redislocation, residual subluxation

1

Kim (2013) [32]

RCS

15

9

surgical treatment of medial + lateral ligaments

isolated surgery lateral

MEPI: INT: CG: 82.9: 93.2 (p < 0.05)

Range of Motion: INT: CG 115°: 120° (p > 0.05)

 

Micic (2009) [33]

RCS

20

32,5

surgical treatment of medial + lateral ligaments

isolated surgery lateral

MEPI: INT: CG: 91.9: 95 (p > 0.05)

ROM: INT: CG 106.8°: 121.1° (p > 0.05)

-

O Brien (2014) [34]

RCS

14

30

surgery of ligament ruptures in < 30 days after trauma

surgery of ligament ruptures in > 30 days after trauma

MEPI: INT: CG 100: 99.3 (p > 0.05)

ROM: INT: CG: 129.4°: 124.9° (p > 0.05)

-

Daluiski (2014) [35]

RCS

34

42

surgery of ligament ruptures in < 30 days after trauma

surgery of ligament ruptures in > 30 days after trauma

MEPI: INT: CG 90: 89 (p > 0.05)

ROM: INT: CG: 115°: 116°

0

Jeon (2008) [36]

RCS

13

27

Surgical treatment of medical + lateral ligaments

Isolated surgery later

MEPI: INT: CG 95.5: 86.7 (p > 0.05)

-

0

  1. SD Study design, RCT randomized controlled trial, RCS retrospective comparative study, PRS prospective comparative study, INT intervention, CG control group, DASH score Disability of the Arm, Shoulder and Neck Score, MEPI Mayo Elbow Performance Index