Assessing the need for improving tactics of surgical treatment in patients with elbow joint contractures (retrospective clinical study)

Abstract

Objective: based on the analysis of the results of surgical treatment of patients with elbow contractures caused by ossification, assess the need to improve the planning and tactics of surgical interventions. Material and methods. According to the data of the primary medical documentation and a questionnaire, a retrospective analysis of the invasiveness of surgical intervention and the results of surgical treatment was performed, 406 patients of this category in the National Medical Research Center of Traumatology and Orthopedics n. a. R. R. Vreden in 2011-2021. Results. The development of late postoperative complications was characteristic of the overwhelming (about 80%) number of patients surveyed. The dominant (54.9%) complications were post-rehabilitation long-term pain and lack of movement in the operated joint. About 35% of patients rated the functional state of the operated elbow joint as satisfactory and poor. Approximately 30% of patients rated their general condition and quality of life below the average normal values. Conclusion. The existing technique of preoperative examination, planning and performing surgery for elbow contractures caused by ossification needs to be improved, since in about a third of patients it does not allow achieving stable results and does not provide a full volume of painless movements in the elbow joint in the medium and long-term observation periods.