SPEED TECHNIQUE USING V-Y TRICEPS PLASTY FOR OLD UNREDUCED CHRONIC ELBOW DISLOCATION - A CASE REPORT AND REVIEW OF LITERATURE

Introduction:Chronic elbow dislocations are often associated with joint instability, persistent pain, and significant limitations in elbow function. In many developing countries, such injuries frequently go untreated or are improperly managed, often due to patients initially seeking care from traditional bonesetters. This delay in appropriate treatment commonly exacerbates the condition, leading to increased stiffness and soft tissue contractures.

Presentation of case:A 33-year-old female who presented with a posterior elbow dislocation that had remained unreduced for over one month following an injury to her right elbow. Prior to admission, she had received treatment from a traditional bonesetter. Upon evaluation, she was managed surgically with open reduction, triceps V–Y lengthening, and internal fixation using a transarticular K-wire. Postoperatively, her elbow was immobilized with a slab for three weeks

Discussion:To achieve optimal outcomes in chronic elbow dislocations, several surgical approaches have been proposed. One such technique is triceps V–Y lengthening, which facilitates joint reduction, particularly in cases with significant chronicity. However, this method may be associated with certain drawbacks, including potential triceps weakness, delayed initiation of physiotherapy, and increased postoperative discomfort. Despite these challenges, our findings support that open reduction remains a valid treatment approach in patients of all ages and irrespective of the injury’s duration, provided that consistent follow-up and rehabilitation are ensured.

Conclusion:Surgical management of neglected elbow dislocations effectively restores function, relieves pain, and ensures stability. Open reduction with soft tissue procedures offers a reliable option for delayed cases.