Assessment Of Results Of Open Arthrolysis In Post Traumatic Stiff Elbows
نویسندگان
چکیده
Background: Surgical management of posttraumatic elbow stiffness has been reported with poor outcome following treatment. Elbow arthrolysis done in any age group and even very old cases yield good results. The goal of our study was to assess the outcome in improvement of the range of motion of the elbow after surgical release by a tailor-made approach to yield good result.Materials and Methods: A retrospective and prospective study was conducted between oct 2006 to oct 2008 at department of orthopaedic surgery, G.S.V.M. medical college Kanpur. This study includes 25 cases of elbow stiffness due to various types of injuries. All the cases were treated with elbow arthrolysis if there was no progress after adequate supervised conservative management except in unreduced dislocations. All the cases were followed up for a minimum period of 2 years. Overall outcome was rated with the functional scoring system by Mayo Clinic Performance Index and Krishnamoorthy et. al (1976).Results: Nineteen(76%) out of 25 patients had excellent results with a mean preoperative range of motion of 38.4°,and postoperative range of motion of 106.80° with net gain in range of motion of 68.40° (' t ' test value is 9.33, P < 0.01). One (4%) of the patient had elbow instability. In cases where release was performed from three months to six months had mean gain of 76.92°. Cases in which release was performed after six months had gain of 63.57°. The mean pre-operative Mayo Clinic Performance Index score was 66°±9.35° and mean post-operative score was 95.4°±13.38° with average gain of 29.4°. (t test value 9.005, p<.001). According to Krishnamoorthy et al functional scoring system (1976), 19 patients (76%) achieve good result and 5 cases (20%) had fair result and 1 case (4%) had poor result.Conclusions: In cases of posttraumatic elbow stiffness after a failed initial conservative treatment, early arthrolysis with sequential surgical soft tissue release yields good result than delayed surgery.
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Outcomes of open arthrolysis of the elbow without post-operative passive stretching.
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