Advertisement

External Fixation for Elbow Instability

  • Alexander W. Aleem
  • Matthew L. Ramsey
  • Joseph A. Abboud
Chapter

Abstract

The use of static external fixators in the setting of elbow instability is a rare but important tool in orthopedic surgeons’ armamentarium. They can be applied in a variety of clinical settings for added stabilization in the management of acute, complex, or chronic instability. Hinged external fixators offer the added benefit of early range of motion but are technically difficult to place perfectly. Complications are common and are mostly related to issues with pin sites. When inserting the pins, great care is required to protect the neurovascular structures.

Keywords

Elbow instability External fixator Hinged external fixator 

References

  1. 1.
    Aleem AW, Ramsey ML, Abboud JA. External fixation in the setting of elbow instability. In: Tashjian RZ, editor. The unstable elbow. Cham: Springer International Publishing; 2017.Google Scholar
  2. 2.
    Iordens GI, Den Hartog D, Van Lieshout EM, Tuinebreijer WE, De Haan J, Patka P, et al. Good functional recovery of complex elbow dislocations treated with hinged external fixation: a multicenter prospective study. Clin Orthop Relat Res. 2015;473(4):1451–61.CrossRefGoogle Scholar
  3. 3.
    Jupiter JB, Ring D. Treatment of unreduced elbow dislocations with hinged external fixation. J Bone Joint Surg Am. 2002;84-A(9):1630–5.CrossRefGoogle Scholar
  4. 4.
    Sorensen AK, Sojbjerg JO. Treatment of persistent instability after posterior fracture-dislocation of the elbow: restoring stability and mobility by internal fixation and hinged external fixation. J Shoulder Elb Surg. 2011;20(8):1300–9.CrossRefGoogle Scholar

Copyright information

© ISAKOS 2020

Authors and Affiliations

  • Alexander W. Aleem
    • 1
  • Matthew L. Ramsey
    • 2
  • Joseph A. Abboud
    • 3
  1. 1.Department of Orthopaedic SurgeryWashington University in St. LouisSt. LouisUSA
  2. 2.Shoulder and Elbow Service, The Rothman InstituteThomas Jefferson UniversityPhiladelphiaUSA
  3. 3.Department of Orthopaedic Surgery, The Rothman InstituteThomas Jefferson UniversityPhiladelphiaUSA

Personalised recommendations