Elbow fracture-dislocations: the role of hinged external fixation.

Fracture-dislocations of the elbow remain a complex problem in orthopaedics. The myriad of treatment protocols and methodologies focuses on precise articular alignment and restoration of the skeletal architecture. The goal is to re-establish function as quickly as possible so as to allow rehabilitation involving the full range of motion. Surgical management, primarily reconstruction of the secondary stabilizers of the elbow joint as well as preserving soft tissue structures, subsequently provides the possibility of a speedier recovery. If proper skeletal alignment does not confer enough stability, hinged external fixation becomes an integral part of the treatment strategy for the reconstructive and trauma surgeon.