Prospective outcome assessment of arthroscopic arthrolysis for traumatic and degenerative elbow contracture

Journal of Shoulder and Elbow Surgery
Przemysław LubiatowskiLeszek Romanowski

Abstract

The purpose of this study was to evaluate the efficacy of arthroscopic elbow release for both traumatic and degenerative contractures from intraoperative recording through the recovery time until final follow-up. The study is based on 54 consecutive patients with extrinsic elbow contracture (traumatic in 31 and degenerative in 23) treated with arthroscopic arthrolysis by a single surgeon in 2011-2015. Range of motion (ROM) and the Mayo Elbow Performance Score (MEPS) were recorded preoperatively; intraoperatively; following release; and in the 1st, 3rd, 8th, 12th, and 26th weeks and at 2 years postoperatively. Significant improvements were noted in extension, flexion, and range of motion, measured both intraoperatively and at all follow-up visits. The greatest improvement in the range of motion was achieved at the time of surgery (from 89° ± 28° to 131° ± 14°, P < .001); it then decreased at 1 week to 103° ± 22° (P < .001) and slowly recovered to reach 124° ± 22° after 2 years. This was better than the preoperative value (P < .001) but worse than the intraoperative value (P = .002). A similar pattern was observed in both traumatic and degenerative contractures. The MEPS improved from 73 ± 12 preoperatively to 93 ± 14 at the fina...Continue Reading

Citations

Apr 5, 2019·Musculoskeletal Surgery·K TemporinH Owaki
May 15, 2019·Journal of Orthopaedic Trauma·Aaron NauthHenry M Broekhuyse
Feb 12, 2021·Journal of Orthopaedic Surgery·Jae-Man Kwak, In-Ho Jeon
Jan 12, 2021·EFORT Open Reviews·Huub H de KlerkMichel P J van den Bekerom
Jun 9, 2021·Journal of Clinical Orthopaedics and Trauma·N Martinez-Catalan, J Sanchez-Sotelo
Jul 31, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Christina M BeckMichael R Hausman
Oct 29, 2021·Journal of Experimental Orthopaedics·Joaquin Sanchez-Sotelo

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