Acute traumatic posterior fracture dislocation of the elbow in pediatric patients: impact of surgery time and associated fractures on outcome.

Bilgili F., Dikmen G. , Bas A., Asma A., Batibay S. G. , Sirikci M., ...More

Journal of pediatric orthopedics. Part B, vol.25, no.5, pp.434-8, 2016 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 25 Issue: 5
  • Publication Date: 2016
  • Doi Number: 10.1097/bpb.0000000000000281
  • Title of Journal : Journal of pediatric orthopedics. Part B
  • Page Numbers: pp.434-8


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. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.