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Journal of Bone and Joint Surgery, 1932;14:127-143.
© 1932 by The Journal of Bone and Joint Surgery, Inc

SURGICAL APPROACH IN OLD POSTERIOR DISLOCATION OF THE ELBOW

GEORGE W. VANGORDER M.D., F.A.C.S.1

1 The Department of Surgery of the Peiping Union Medical College, Peiping, China

In posterior dislocation of the elbow of over three weeks' duration, closed methods of reduction are contra-indicated.

In old posterior dislocations of the elbow, uncomplicated by fracture, operative reduction is demanded; and the operative procedure of choice is the one which will allow careful preservation of the articulating joint surfaces and a reduction of the dislocation with a minimum of trauma.

A simple operative method which has been successful in accomplishing these two purposes is presented by the writer with a report of six cases.

Resection should have no place in the treatment of old uncomplicated posterior dislocations of the elbow, but be reserved for cases associated with major fractures or infection.


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