Outcome of Open Release for Post-Traumatic Elbow Stiffness

Tan, Virak; Daluiski, Aaron; Simic, P; Hotchkiss, Robert N.

doi:10.1097/01.ta.0000196000.96056.51

Cited by 88 publications

(58 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Anything less than the restoration of a functional range of movement represents a failure of treatment. Various protocols 12,13,17,[30][31][32] have been presented for the management of a stiff elbow, and this study aimed to combine the principles outlined in these protocols.…”

Section: Discussionmentioning

confidence: 99%

Management of severe extra-articular contracture of the elbow by open arthrolysis and a monolateral hinged external fixator

Kulkarni¹,

Kulkarni²,

Shyam³

et al. 2010

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

Arthrolysis and dynamic splinting have been used in the treatment of elbow contractures, but there is no standardised protocol for treatment of severe contractures with an arc of flexion < 30 degrees . We present our results of radical arthrolysis with twin incisions with the use of a monolateral hinged fixator to treat very severe extra-articular contracture of the elbow. This retrospective study included 26 patients (15 males and 11 females) with a mean age of 30 years (12 to 60). The mean duration of stiffness was 9.1 months (5.4 to 18) with mean follow-up of 5.2 years (3.5 to 9.4). The mean pre-operative arc of movement was 15.6 degrees (0 degrees to 30 degrees ), with mean pre-operative flexion of 64.1 degrees (30 degrees to 120 degrees ) and mean pre-operative extension of 52.1 degrees (10 degrees to 90 degrees ). Post-operatively the mean arc improved to 102.4 degrees (60 degrees to 135 degrees ), the mean flexion improved to 119.1 degrees (90 degrees to 140 degrees ) and mean extension improved to 16.8 degrees (0 degrees to 30 degrees ) (p < 0.001). The Mayo elbow score improved from a mean of 45 (30 to 65) to 89 (75 to 100) points, and 13 had excellent, nine had good, three had fair and one had a poor result. We had one case of severe instability and one wound dehiscence which responded well to treatment. One case had deep infection with poor results which responded well to treatment. Our findings indicate that this method is very effective in the treatment of severe elbow contracture; however, a randomised controlled study is necessary for further evaluation.

show abstract

Section: Discussionmentioning

confidence: 99%

Management of severe extra-articular contracture of the elbow by open arthrolysis and a monolateral hinged external fixator

Kulkarni¹,

Kulkarni²,

Shyam³

et al. 2010

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

show abstract

“…Surgeon comfort with a procedure and the reliability and efficacy of a procedure in a surgeon's hands may also determine the type of surgery pursued. 37 All surgical procedures must (1) respect the close proximity of critical neurovascular structures; (2) minimize soft tissue trauma by exploiting defined soft tissue planes and/or intervals; and (3) critically evaluate fracture reduction, stability, and intraoperative gains in range of motion. In our hands, the technique for surgical release of elbow contractures should follow the pathology and the site and/or direction of loss of motion.…”

Section: Surgical Treatmentmentioning

confidence: 99%

Prevention and Treatment of Elbow Stiffness

Evans

Nandi

Maschke

et al. 2009

The Journal of Hand Surgery

View full text Add to dashboard Cite

“…Tan et al [39] illustrated complications after open release for elbow contracture and in particular they highlighted: wound infection ( n = 3/52 = 6%), cubital tunnel syndrome ( n = 3/52 = 6%), and reflex sympathetic dystrophy ( n = 1/52 = 2%). …”

Section: Results and Complicationsmentioning

confidence: 99%

Arthroscopic Treatment of Stiff Elbow

et al. 2011

View full text Add to dashboard Cite

Contracture of the elbow represents a disabling condition that can impair a person's quality of life. Regardless of the event that causes an elbow contracture, the conservative or surgical treatment is usually considered technically difficult and associated with complications. When the conservative treatment fails to restore an acceptable range of motion in the elbow, open techniques have been shown to be successful options. More recently the use of arthroscopy has become more popular for several reasons. These reasons include better visualization of intra-articular structures, less tissue trauma from open incisions, and potentially the ability to begin early postoperative motion. The purpose of this paper is to review the indications, complications, and results of arthroscopic management of a stiff elbow.

show abstract

Outcome of Open Release for Post-Traumatic Elbow Stiffness

Abstract: Open elbow release with excision of tethers and blocks is a valuable procedure for post-traumatic stiffness. Recurrence in postoperative period is common but is responsive to manipulation under anesthesia and repeat releases.

Cited by 88 publications

References 18 publications

Management of severe extra-articular contracture of the elbow by open arthrolysis and a monolateral hinged external fixator

Management of severe extra-articular contracture of the elbow by open arthrolysis and a monolateral hinged external fixator

Prevention and Treatment of Elbow Stiffness

Arthroscopic Treatment of Stiff Elbow

Contact Info

Product

Resources

About