Complex Elbow Instability: Radial Head and Coronoid.
A standardized and systematic approach for the management of an acute complex elbow dislocation involving the radial head and coronoid will maximize clinical outcomes. The cornerstones of surgical management include primary restoration of the ulnohumeral joint by reduction of the intact joint or coronoid fracture fixation, followed by radial head fixation or replacement. The lateral ulnar collateral ligament complex is then repaired before assessing elbow stability within a functional sagittal arc of motion.
Department of Orthopaedic Surgery, The Center for Shoulder, Elbow, and Sports Medicine, New York Presbyterian/Columbia University Medical Center, 622 West 168th Street, PH-11, New York, NY 10032, USA.
David
D
Kovacevic
Department of Orthopaedic Surgery, The Center for Shoulder, Elbow, and Sports Medicine, New York Presbyterian/Columbia University Medical Center, 622 West 168th Street, PH-11, New York, NY 10032, USA.
Laura A
LA
Vogel
Department of Orthopaedic Surgery, The Center for Shoulder, Elbow, and Sports Medicine, New York Presbyterian/Columbia University Medical Center, 622 West 168th Street, PH-1130, New York, NY 10032, USA. Electronic address: wnl1@columbia.edu.
William N
WN
Levine
D019643:Arthroplasty, Replacement; D017885:Collateral Ligaments / Q000293:injuries / Q000601:surgery; D004551:Elbow Joint / Q000601:surgery*; D005081:Exercise Therapy; D016267:External Fixators; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D007593:Joint Instability / Q000209:etiology / Q000601:surgery*; D056888:Patient Positioning; D011182:Postoperative Care; D011183:Postoperative Complications; D011300:Preoperative Care; D011885:Radius Fractures / Q000150:complications / Q000601:surgery*; D016059:Range of Motion, Articular; D014458:Ulna Fractures / Q000150:complications / Q000601:surgery*
Clinical outcomes; Complex elbow instability; Coronoid; Radial head; Rehabilitation; Surgical technique