%0 Journal Article
%T The burden of chronic elbow dislocations in Cambodia and early results of a cost
%A Alex Nicholls
%A Alice E Mortimer
%A Aziz Rawal
%A Heang Oy
%A James G Gollogly
%A Saqib Noor
%J Tropical Doctor
%@ 1758-1133
%D 2019
%R 10.1177/0049475518808637
%X Chronic elbow dislocation presents a surgical challenge and there is difficulty in balancing stability with early mobilisation. We present a series of 103 patients treated with open reduction via a posterior approach and provide early results of an alternative combined medial and lateral approach (Soddo technique, Anderson et al.). Of the 103 patients, 81% initially consulted a traditional healer and the mean dislocation period was 11 weeks. There was significant loss to follow-up. Only 12 patients having undergone the posterior approach had complete datasets. The mean preoperative arc of movement was 10กใ and the postoperative arc was 65กใ at a mean follow-up of 16 weeks. Five patients treated with the Soddo technique had sufficient follow-up data. The mean preoperative arc was 20กใ and the mean postoperative arc was 95กใ (mean follow-up of 20 days). Those having undergone the Soddo technique achieved a 20กใ greater increase in range of movement and no re-dislocations
%K Elbow
%K dislocation
%K open reduction
%K developing country
%U https://journals.sagepub.com/doi/full/10.1177/0049475518808637