Outcome of open reduction for the neglected posterior dislocation of the elbow in a low-to-middle income country.

BACKGROUND: Neglected posterior dislocation of the elbow is common in developing countries. We evaluated the clinical results of open reduction focusing on range of motion (ROM), stability and pain.

MATERIALS AND METHODS: Sixteen patients were treated for neglected dislocation of the elbow between January 2008 and December 2012 at St. Luke's Catholic Hospital and College of Nursing, Wolisso, Ethiopia. Mean time from injury was 2.8 months (range, 2-48 months). All patients underwent open reduction using Speed's technique. Mean follow-up was 12 months (range, 12-36 months). Range of motion (ROM) was measured, stability was checked with the lateral pivot shift apprehension test.

RESULTS: All patients improved their range of motion (ROM). Pain decreased. One patient developed instability during the rehabilitation programme; in the remaining patients pivot shift test was negative.

CONCLUSION: Open reduction is an effective method to restore joint stability, improve function of neglected posterior dislocation of the elbow.