Manipulation Under Anesthesia as a Treatment of Posttraumatic Elbow Stiffness

Journal of Orthopaedic Trauma
Clay A SpitlerD Marshall Jemison

Abstract

Evaluate the safety and efficacy of manipulation under anesthesia (MUA) for posttraumatic elbow stiffness. Retrospective, case series. Single institution; level 1 trauma center. Chart review of 45 patients over a 10-year period treated with MUA for posttraumatic elbow stiffness after elbow injuries treated both operatively and nonoperatively. None. Change in total flexion arc pre- to postmanipulation; time to manipulation; complications. Average time from most recent surgical procedure or date of injury to MUA was 115 days. Average premanipulation flexion arc was 57.9 degrees; average flexion arc at the final follow-up was 83.7 degrees. The improvement in elbow flexion arc of motion was statistically significant (P < 0.001). Post hoc analysis of the data revealed 2 distinct groups: 28 patients who underwent MUA within 3 months of their most recent surgical procedure (early manipulation), and 17 patients who underwent MUA after 3 months (late manipulation). Average improvement in elbow flexion arc in the early MUA group was 38.3 degrees (P < 0.001); improvement in the late MUA group was 3.1 degree. Comparison of improvement between the early and late MUA groups found a significant difference (P < 0.001) in mean flexion arc impro...Continue Reading

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Citations

Oct 3, 2018·Journal of Orthopaedic Trauma·Clay Spitler
Oct 3, 2018·Journal of Orthopaedic Trauma·Jetske ViveenMichel P J van den Bekerom
Jul 8, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Dani RotmanYishai Rosenblatt

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