PMID: 11321277Apr 26, 2001Paper

Open arthrolysis for functional restoration in post-traumatic elbow stiffness

Tropical Doctor
R O Ofiaeli

Abstract

A prospective study of nine patients who had elbow stiffness after trauma and had open arthrolysis to restore function is presented: seven were children aged 6-10, two were adults--six males and three females. Five patients had supracondylar fracture as the initial lesion, one had posterior dislocation of the elbow and three had elbow sprains. They were all previously treated by native bonesetters and presented with elbow stiffness and fixed extension of the elbow. All had open arthrolysis using a posterior approach. The flexion range and loss of extension were measured pre-operatively and at 6 months after surgery using a goniometer. Both values were compared using the Student's t-tests for correlated samples. There was a significant improvement in the flexion range from a mean pre-operative value of 3.6 degrees to 88.3 degrees post-operatively (t=8.87, P > 0.01) and in the extension loss from a mean value of 33.8 degrees pre-operatively to 12.1 degrees post-operatively (t=7, P < 0.01). The improved flexion range was due to the operation while the improvement in the loss of extension was due to physiotherapy. Useful functional range of movement was restored in all patients. The operation is a very useful procedure and is recom...Continue Reading

References

Jan 1, 1992·International Orthopaedics·S Amillo
Dec 1, 1993·International Orthopaedics·A L BoerboomJ A Verhaar
Mar 1, 1994·The American Journal of Sports Medicine·L A Timmerman, J R Andrews

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Citations

Aug 3, 2012·The Journal of Bone and Joint Surgery. American Volume·Charalambos P Charalambous, Bernard F Morrey

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