Techniken der Arthrolyse am Ellenbogen

Leschinger, Tim; Müller, Lars Peter; Hackl, Michael; Wegmann, Kilian

doi:10.1007/s11678-016-0366-0

Cited by 8 publications

(3 citation statements)

References 39 publications

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“…These results are supported by several studies reporting the arthroscopic procedure to be effective in patients with posttraumatic elbow contracture [2,[9][10][11][12][13]. However, due to the proximity of neurovascular structures, arthroscopic arthrolysis is a challenging procedure of high technical complexity [4,8]. Therefore, the open procedure is considered by several authors to be the standard treatment for managing contracted elbows, especially in elbows with large intrinsic and extrinsic components [3,6].…”

Section: Arthroskopische Arthrolyse • Offene Arthrolyse • Bewegungsstmentioning

confidence: 75%

“…The operative techniques for open and arthroscopic procedures have previously beendescribed indetail [5,8]. Inaddition to the standard arthroscopic procedure, seven patients in this group underwent ulnar nerve decompression.…”

Section: Methodsmentioning

confidence: 99%

“…These limitations may substantially reduce the patient's quality of life. If conservative treatment does not provide a satisfying result, arthrolysis of the stiff elbow can be performed either arthroscopically or by an open approach aiming to relieve pain relating to mechanical symptoms and impingement and to recover a functional range of motion (ROM) [3,8]. Although satisfactory outcomes are reported in retrospective comparative studies and case series for both procedures, there is a paucity of direct prospective comparisons of the two techniques [3,9].…”

Section: Introductionmentioning

confidence: 99%

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A prospective comparison of short-term results after arthroscopic and open elbow procedures in elbow stiffness

et al. 2019

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Background Surgical treatment of the stiff elbow can be performed either arthroscopically or via an open approach. There is a paucity of direct prospective comparisons of the techniques in the literature. Objectives The aim of the study is to analyze the clinical short-term results of arthroscopic and open elbow arthrolysis in postoperative and posttraumatic stiff elbows. Materials and methods The study group consisted of 44 patients divided in two cohorts, one after arthroscopic arthrolysis (33 patients) and the other including patients after open arthrolysis (11 patients). Range of motion (ROM; extension/flexion), pain (numerical rating scale, NRS), as well as the disabilities of the arm, shoulder, and hand (DASH) score were recorded preoperatively and examined in a standardized manner 6 weeks, 3 months, and 6 months after surgery. Results In both groups, preoperative elbow movement significantly improved in the follow-up. An increase from 103.3° (±23.4) to 123.5° (±12.5°; p = 0.001) was seen after 6 months for the arthroscopic group, whereas the mean ROM significantly increased from 64.5° (±31.1°) to 100.9° (±25.6°; p = 0.007) following open arthrolysis. In the arthroscopic group, the DASH score was measured at 37.3 points (±23.4 points) and improved to 16.1 points (±16.5 points) after 6 months, while in the open group it enhanced after 6 months (19.5 points [±17.5 points]) compared to its preoperative value by 38.2 points (±24.1 points). A consistent improvement was found for NRS, which decreased after surgery in both groups (arthroscopic group = −3.1 [±3.0]; open group = −2.0 [±2.9]). Complications did not occur in either group. When comparing delta values of the groups between the preoperative ROM, DASH score, and NRS, no significant differences were observed (p < 0.05). Conclusions Good to excellent functional recovery was seen in both cohorts when evaluating for improvement in the DASH score, the gain in elbow motion, and the decrease in pain. No significant differences were found between the procedures regarding pre- and postoperative measurements. The arthroscopic approach has developed to become an effective alternative to treat posttraumatic elbow stiffness.

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