Management of Neglected Simple Elbow Dislocation

: Simple and Reproducible Technique in Developing Countries

Abstract

Elbow dislocation is ranking second only to shoulder dislocations among adults. Neglecting and timely intervention can lead to a complex condition characterized by structural changes and functional impairments, underscoring the need for comprehensive management strategies to mitigate disability and prevent arthritic changes. Neglected elbow dislocations are relatively common in developing countries due to initial treatment by local bonesetters, contributing to delayed presentation and inadequate management. Surgical interventions, including open reduction and fixation, have shown promising outcomes in restoring joint stability and function, particularly in chronic cases. We would like to present a 59-year-old female with chronic simple elbow dislocation managed with double (medial and lateral) approach without violation of the triceps and ligament reconstruction followed by ulnohumeral transfixing wire for temporary immobilization could produce satisfactory result and reproducible outcome.