title: Acute traumatic posterior fracture dislocation of the elbow in pediatric patients: impact of surgery time and associated fractures on outcome.
abstract: This study assessed the effect of the time interval from initial injury to surgery and the presence of associated fracture on functional outcomes after acute posterior elbow fracture dislocation. Twenty-six pediatric patients were evaluated with respect to operation time point (within 24 h vs. later) and associated fracture retrospectively. The Mayo Elbow Performance Index (MEPI) score was used to assess functional results. The MEPI score was 91 (80-100) in patients with one associated fracture and 83 (75-95) (P=0.02) in patients with more than one associated fracture. The MEPI score in patients treated within 24 h was 90.3 (75-95) and in those treated later than 24 h, it was 88.6 (75-100) (P=0.6). Treatment time (within 24 h vs. later) does not affect outcomes, but increasing numbers of associated injuries affect outcomes negatively. Level of study: Level IV case series.
authors.affiliation: aDepartment of Orthopaedics and Traumatology, Istanbul Faculty of Medicine bDepartment of Orthopaedics and Traumatology, Memorial Hospital Atasehir cDepartment of Orthopedics and Traumatology, Acibadem University, Acibadem Maslak Hospital, Istanbul dDepartment of Orthopaedics and Traumatology, Ağri Government Hospital, Agri, Turkey.
authors.forename: Fuat
authors.initials: F
authors.lastname: Bilgili
authors.forename: Goksel
authors.initials: G
authors.lastname: Dikmen
authors.forename: Ali
authors.initials: A
authors.lastname: Baş
authors.forename: Ali
authors.initials: A
authors.lastname: Asma
authors.forename: Sefa G
authors.initials: SG
authors.lastname: Batibay
authors.forename: Murat
authors.initials: M
authors.lastname: Şirikçi
authors.forename: Ata Can
authors.initials: AC
authors.lastname: Atalar
mesh_terms: D000293:Adolescent; D002648:Child; D004550:Elbow / Q000601:surgery; D004551:Elbow Joint / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D000072039:Fracture Dislocation / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery; D004204:Joint Dislocations / Q000601:surgery; D008297:Male; D010372:Pediatrics; D011885:Radius Fractures / Q000601:surgery; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013997:Time Factors; D000092464:Elbow Injuries