Open surgical elbow contracture release after trauma: results and recommendations
| Autor: | Nader Paksima, Anthony Christiano, Sanjit R. Konda, Jack M. Haglin, David N. Kugelman, Kenneth A. Egol |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Contracture Patient demographics Elbow Young Adult 03 medical and health sciences 0302 clinical medicine Recurrence Elbow Joint medicine Humans Orthopedic Procedures Orthopedics and Sports Medicine Range of Motion Articular Ulnar nerve Aged Retrospective Studies Aged 80 and over 030222 orthopedics business.industry Ossification Heterotopic Soft tissue 030229 sport sciences General Medicine Middle Aged musculoskeletal system Surgery body regions medicine.anatomical_structure Concomitant Female medicine.symptom Range of motion business Complication |
| Zdroj: | Journal of Shoulder and Elbow Surgery. 27:418-426 |
| ISSN: | 1058-2746 |
| Popis: | Post-traumatic elbow contracture is a debilitating complication after elbow trauma. The purpose of this study was to characterize the affected patient population, operative management, and outcomes after operative elbow contracture release for treatment of post-traumatic elbow contracture.A retrospective record review was conducted to identify all patients who underwent post-traumatic elbow contracture release performed by 1 of 3 surgeons at one academic medical center. Patient demographics, injuries, operative details, outcomes, and complications were recorded.The study included 103 patients who met inclusion criteria. At the time of contracture release, patients were a mean age of 45.2 ± 15.6 years. Contracture release resulted in a significant mean increase to elbow extension/flexion arc of motion of 52° ± 18° (P .0005). Not including recurrence of contracture, a subsequent complication occurred in 10 patients (10%). Radiographic recurrence of heterotopic ossification (HO) occurred in 14 patients (14%) after release. Ten patients (11%) elected to undergo a secondary operation to gain more motion.Soft tissue and bony elbow contracture release is effective. Patients with post-traumatic elbow contracture can make significant gains to their arc of motion after contracture release surgery and can expect to recover a functional elbow arc of motion. Patients with severe preoperative contracture may benefit from concomitant ulnar nerve decompression. HO prophylaxis did not affect the rate of HO recurrence or ultimate elbow range of motion. However, patients must be counseled that contracture may reoccur, and some patients may require or elect to have more than one procedure to achieve functional motion. |
| Databáze: | OpenAIRE |
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