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All Journal International Journal of Health, Economics, and Social Sciences (IJHESS)
Luthfi Wal Ilkram
Unknown Affiliation
Economics, Econometrics & Finance Public Health Social Sciences

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Comparison of Clinical Outcomes of Neglected Posterior Elbow Dislocation Managed with Open Reduction With and Without K-Wire Fixation Luthfi Wal Ilkram; Nino Nasution; Benny
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 7 No. 4: October-2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v7i4.8983

Abstract

Neglected posterior elbow dislocation presents a significant surgical challenge due to chronic soft tissue contractures and joint stiffness. Open reduction is the standard treatment, but the benefit of additional K-wire fixation remains uncertain. This observational analytic study with a case-control design was conducted at Haji Adam Malik General Hospital, Medan. A total of 50 patients with neglected posterior elbow dislocation treated between January 2020 and December 2024 were included. Patients were divided into two groups: open reduction with K-wire fixation (n = 25) and without fixation (n = 25). Clinical outcomes were assessed using the qDASH score, range of motion (ROM), and joint instability. Data were analyzed using Chi-square and Fisher’s exact tests with a significance level of p < 0.05. There were no significant differences between the two groups in qDASH scores (p = 0.551), ROM (p = 0.529), or joint instability (p = 0.773). Most patients (64%) achieved minimal disability, 72% had normal ROM, and 78% showed no signs of instability postoperatively. Open reduction of neglected posterior elbow dislocation yields comparable functional outcomes with or without K-wire fixation. The addition of K-wire does not appear to significantly influence disability scores, range of motion, or elbow stability. Surgical success may depend more on soft tissue management and rehabilitation than on internal fixation.
Co-Authors benny Nino Nasution