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Surgical Research and New Technique ›› 2017, Vol. 6 ›› Issue (2): 78-81.doi: 10.3969/j.issn.2095-378X.2017.02.002

• Original article • Previous Articles     Next Articles

Clinical efficacy of hinged external fixator in the treatment of acute complex elbow fracture and instability

WANG Xiuhui1, WANG Zhe2, WANG Minghui1   

  1. 1.Department of Orthopedics,Zhoupu Hospital of Shanghai Pudong New District,Shanghai 201318,China;
    2.Department of Orthopedics,The First Affiliated Hospital of Dalian Medical University, Dalian 116011,China
  • Received:2017-01-26 Published:2017-07-21

Abstract: Objective To analyze the clinical efficacy of hinged external fixator on acute complex elbow fracture and instability.Methods Fifty-three cases were selected from March 2012 to March 2014,who were diagnosed with acute complex elbow fracture and instability and underwent surgical therapies with single-armed hinged external fixators.They were then followed up after one year to evaluate Japanese Orthopaedic Assoiation (JOA) score and bone union based on radiological results.Results Average follow-up lasted for (16.5±5.0) months and average fracture healing took (12.5±1.5) weeks.The flexion and extension range of elbow joint was 113.34°±26.33° and the rotation range of forearm was 105.35°±26.23°.Post-operative function and range of motion were recovered as expected in general,with a total JOA score of 84.02±19.13.In addition,three cases were recovered from complications.Conclusion A high clinical efficacy is found of applying hinged external fixator to the treatment of acute complex elbow fracture and instability,which would be beneficial to the recovery of elbow joint function after surgical therapies.

Key words: Acute elbow joint fracture, Acute elbow joint instability, Hinged external fixator

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