A Novel Technique of Management of Open Fracture of Forearm In Floating Elbow Injuries In Adults Using A Combination of Locking Compression Plate For Humerus With External Fixation And Pinning Forearm Fractures: A Prospective Study.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 1
Abstract
Floating elbow fracture in adults is a rare and complex injury with unpredictable outcome. The aim of our study was to assess the demography, clinical outcome and complications of classic floating elbow in adults with different treatment modalities. Method:Between 2016 and 2017 , 10 patients with floating elbow involving open injuries of the forearm were treated in orthopedics department of regional institute of medical sciences,imphal with a mean follow up of 20.6 weeks. Out of 10 floating elbow cases all were open fractures of the forearm with closed fractures of humerus. Results: Fracture healing observed upto 6 months post operatively. All fractures were united within 6 months . The average DASH score at the final follow up was 31.9. 3 cases showed evidence of elbow stiffness and one case showed additional complex regional pain syndrome. Conclusion: Floating elbow injuries complicated by compound fractures of forearm are difficult to treat owing to the complexity of articular involvement and associated soft tissue trauma.
Authors and Affiliations
Roel Langshong, Debasish Parija, Prabhu Shrinivas Prashanth, Prabhat Rai, Trinajit Debbarma, Sudip Deb
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