Complex and unstable simple elbow dislocations: a review and quantitative analysis of individual patient data.
OBJECTIVE
The primary objective of this review of the literature with quantitative analysis of individual patient data was to identify the results of available treatments for complex elbow dislocations and unstable simple elbow dislocations. The secondary objective was to compare the results of patients with complex elbow dislocations and unstable elbow joints after repositioning of simple elbow dislocations, which were treated with an external fixator versus without an external fixator.


METHODS
Electronic databases MEDLINE, EMBASE, LILACS, and the Cochrane Central Register of Controlled Trials.


METHODS
Studies were eligible for inclusion if they included individual patient data of patients with complex elbow dislocations and unstable simple elbow dislocations.


METHODS
The different outcome measures (MEPI, Broberg and Morrey, ASES, DASH, ROM, arthritis grading) are presented with mean and confidence intervals.


RESULTS
The outcome measures show an acceptable range of motion with good functional scores of the different questionnaires and a low mean arthritis score. Thus, treatment of complex elbow dislocations with ORIF led to a moderate to good result. Treatment of unstable simple elbow dislocations with repair of the collateral ligaments with or without the combination of an external fixator is also a good option. The physician-rated (MEPI, Broberg and Morrey), patient-rated (DASH) and physician- and patient-rated (ASES) questionnaires showed good intercorrelations. Arthritis classification by x-ray is only fairly correlated with range of motion. Elbow dislocations are mainly on the non-dominant side.
de Haan
Jeroen
J
Department of Surgery and Traumatology, Westfriesgasthuis, Maelsonstraat 3, 1624 NP Hoorn, The Netherlands.
Schep
Niels
N
Tuinebreijer
Wim
W
den Hartog
Dennis
D