Individual approach to elbow arthrolysis

Czech version

Authors: +radek Hart ^{1 2}; Martin Komzák ¹; Adel Safi ¹; František Okál ¹
Authors‘ workplace: Ortopedicko-traumatologické oddělení, Nemocnice Znojmo, MUDr. Jana Jánského 11, 669 0 Znojmo ¹; Klinika traumatologie v Úrazové nemocnici v Brně, Lékařská fakulta Masarykovy univerzity ²
Published in: Úraz chir. 19., 2011, č.2

Overview

Aim:
To present authors´ experience with different methods of elbow arthrolysis.

Material and Methods:
Between 2003 and 2009, 39 men and 7 women with mean age of 41,5 years underwent operative arthrolysis of the elbow joint. Just in a half of cases was trauma a cause of rigidity. Mean range of motion (ROM) before surgery was 58,0° (range, 0° - 105°).

Results:
Mean ROM immediately after the surgery was 118,6°. It means the average increase of ROM 60,6°. At last follow-up control was the mean ROM 111,0°. The loss of ROM presented 7,6° at average. The final ROM increase was meanly 53,0° (range, 20° - 125°). No serious complications were observed.

Conclusions:
Elbow arthrolysis represents a successfull procedure which returns a patient to common everyday activities. Medial surgical approach is prefered in most cases.

KEY WORDS:
elbow joint, rigidity, arthrolysis.

Sources

1. ALDRIDGE, J.M., ATKINS, T.A., GUNNESON, E.E., et al. Anterior release of the elbow for extension loss. J Bone Jt Surg. 2004, 86-A, 1955–1960.

2. COHEN, A.P., REDDEN, J.F., STANLEY, D. Treatment of osteoarthritis of the elbow: a comparison of open and arthroscopic debridement. Arthroscopy. 2000, 16, 701–706.

3. GAUSEPOHL, T., MADER, K., PENNIG, D. Mechanical distraction for the treatment of posttraumatic stiffness of the elbow in children and adolescents. J Bone Jt Surg. 2006, 88-A, 1011–1021.

4. HART, R. Artrolýza loketního kloubu. Acta Chir orthop Traumatol Cech. 2000, 67, 329–335.

5. HART, R., JANEČEK, M., BUČEK, P. Ortopedie a traumatologie loketního kloubu. 1. vyd. Brno: Centa, 2002. 202 s. ISBN 80-238-8861-7.

6. HERTEL, R., PISAN, M., LAMBERT, S. et al. Operative management of the stiff elbow: sequential arthrolysis based on a transhumeral approach. J Shoulder Elbow Surg. 1997, 6, 82–88.

7. HUSBAND, J.B., HASTINGS, H. The lateral approach for operative release of posttraumatic contracture of the elbow. J Bone Jt Surg. 1990, 72-A, 1353–1358.

8. JUDET, R. Arthrolyse et arthroplastie sous distracteur. Rev Chir Orthop., 1978, 64, 353–365.

9. JUPITER, J.B., WYSE, H. Stable fixation of osteoporotic fratures and nonunion in the upper limb – life before the „locking plate“. Acta Chir orthop Traumatol Cech. 2010, 77, 361–364.

10. KAMINENI, S., SAVOIE, F.H., ELATTRACHE, N. Endoscopic extracapsular capsulectomy of the elbow: a neurovascularly safe technique for high-grade contractures. Arthroscopy. 2007, 23, 789–792.

11. KASHIWAGI, D. Osteoarthritis of the elbow joint: Intra-articular changes and the special operative procedure; Outerbridge-Kashiwagi method (O-K method). In: Kashiwagi, D.: The elbow joint. Amsterdam, Elsevier 1985, 177–188.

12. KLEINER, M.T., ILYAS, A.M., JUPITER, J.B. Radial head arthroplasty. Acta Chir orthop Traumatol Cech. 2010, 77, 7–12.

13. KOVANDA, M., MÜLLER, I. Deliberace loketního kloubu. Acta Chir Orthop Traumatol Cech. 1974, 41, 65–68.

14. LINDENHOVIUS, A.L.C., DOORNBERG, J.N., RING, D. Health status after open elbow contracture release. J Bone Jt Surg. 2010, 92-A, 2187–2195.

15. MORREY, B.F. Post-traumatic contracture of the elbow. Operative treatment, including distraction arthroplasty. J Bone Jt Surg. 1990, 72-A, 601–618.

16. PARK, M.J., CHANG, M.J., LEE, Y.B. et al. Surgical release for posttraumatic loss of elbow flexion. J Bone Jt Surg. 2010, 92-A, 2692–2699.

17. PEŠL, T., HAVRÁNEK, P. Monteggiova léze ro-stoucího skeletu: principy léčby. Acta Chir orthop Traumatol Cech. 2010, 77, 32–38.

18. RING, D., JUPITER, J.B. Operative release of com-plete ankylosis of the elbow due to heterotopic bone in patients without severe injury of the central ner-vous system. J Bone Jt Surg. 2003, 85-A, 849–857.

19. WADA, T., ISHII, S., USUI, M. et al. The medial approach for operative release of post-traumatic contracture of the elbow. J Bone Jt Surg. 2000, 82-B, 68–73.

20. WEISS, A-P.C., SACHAR, K. Soft tissue contrac-tures about the elbow. Hand Clin. 1994, 10, 439–451.

Labels

Surgery Traumatology Trauma surgery

Diaphyseal femur fractures in children and their treatment

Article was published in

Trauma Surgery

2011 Issue 2