A comparative study of conservative functional treatment versus acute ligamentous repair in simple dislocation of the elbow at tertiary health care center
Journal Title: Medpulse International Journal of Orthopedics - Year 2019, Vol 9, Issue 2
Abstract
Background: The anatomy of the elbow is complex. Sufficient stability is essential to elbow functionality and is provided by soft tissue structures as well as bony structures. Aims and Objectives: To study conservative functional treatment versus acute ligamentous repair in simple dislocation of the elbow at tertiary health care center. Methodology: This was a cross-sectional study carried out in the department of Orthopedics at tertiary health care centre during the one year period i.e. January 2017 to January 2018 , there were 46 patients admitted with dislocation of the elbow , with the written and explained consent all of them enrolled to Surgical Treatment Group (ST) (n=23) and Conservative treatment Group (CT) (n=23) randomly, all of them assessed in the subsequent visits by MEPS (Mayo Elbow Performance Score) , the statistical analysis was done by un-paired t-test, and chi-square test and analyzed by SPSS 19 version software .Result :In our study we have seen that The mean age of in ST group was 45± 4.52 Yrs. and in CT group was 43 ± 4.72 Yrs. was comparable (t = 1.4677, df = 44 ,p>0.05).The male to female ratio in both the groups was 1.09 and 1.3 was comparable with each other (X2=0.34,df=1,P>0.05) , By MEPS Majority of the patients in ST groups were having Excellent Outcomes i.e. 75.00% as compared to 25.00%, Good -57.14% and 42.86%, Fair- 33.33% and 66.67%; Poor-10.00% and 90.00% , this observed difference was statistically significant (X2=11.71,df=3,p>0.008). Conclusion: It can be concluded from our study that outcome of conservative surgery were better as compared to surgical methods.
Authors and Affiliations
Rajkumar Indrasen Suryawanshi, Amol Khairnar, Vijay Kamble
Keywords
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- EP ID EP539140
- DOI 10.26611/1020926
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