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Risk Factors of Carlock et al for Elbow Joint Contracture Following Surgical Repair of an Elbow Fracture

Description

Carlock et al reported risk factors associated with elbow joint contracture following surgical repair of a traumatic elbow fracture. The presence of risk factors may indicate the need for more aggressive management. The authors are from NYU Langone Orthopedic Hospital in New York City.


Patient selection: elbow fracture status post surgical repair

 

Preoperative risk factors for contracture:

(1) AO/OTA fracture type 13-C (OR 13.7)

(2) multiple noncontiguous fractures (OR 3.7)

(3) ulnohumeral dislocation at the time of injury (OR 4.9)

 

Postoperative risk factors for joint stiffness at 6-week follow-up visit:

(1) elbow range of motion less than 50 degrees flexion/extension (OR 23)

(2) heterotopic ossifications seen in X-ray (OR 6.7)


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