Valero GFS, Gutiérrez SGR, Aguilera ZJM, Encalada-Díaz MI, Ruiz-Suárez M

Language: Spanish
References: 13
Page: 228-232
PDF size: 182.80 Kb.

ABSTRACT

Purpose: To show how open treatment of the elbow stiffness offers an improvement in the range of motion, pain control, and patient’s satisfaction. Methods. We present a case series analysis of patients who suffer elbow stiffness and were treated with open surgery. We analyzed the range of motion (ROM), visual analogue scale (VAS) for pain and satisfaction, and the Mayo Score. Statistical analysis was performed using Student´s t-test, Fisher´s exact and Pearson correlation coefficient. Results: 33 patients were included mean, age was 30.3 ± 13.4. Twenty patients were male and 13 female, 32 patients had an articular fracture of the elbow and 1 with ectopic ossification. In 90.9% the column procedure was the option and in 9.1% open reduction and internal fixation was made. Compared with preoperative ROM was 58.8° ± 28.6°, postoperative 96.1° ± 25.5° (p ‹ 0.001). Pain versus registered 5.06 points in the Preoperative 1.7 points in the postoperative period (p = 0.001). 75% of the patients were satisfied. Preoperative Mayo score was 47.2 ± 17.8 versus 89.2 ± 13.4 in the postoperative (p ‹ 0.0001). Conclusion: The open treatment of the stiff elbow offers the patient pain relief; increased motion and most patients report final results as satisfactory.

REFERENCES

1. Morrey BF: The post-traumatic stiff elbow. Clin Orthop 2005; 431: 26–35.

2. King GJW, Faber KJ. Post-traumatic elbow stiffness. Orthop Clin North Am 2000; 31(1): 129-43.

3. Issack PS, Egol KA: Post-traumatic contracture of the elbow: current management issues. Bull Hosp J Dis 2006; 63(3-4): 129-36.

4. Bruno RJ, Lee ML, Strauch RJ, Rosenwasser MP: Post-traumatic Elbow Stiffness: Evaluation and management. J Am Acad Orthop Surg 2002; 10: 106-16.

5. Mansat P, Morrey BF: The column procedure: A limited lateral approach for extrinsic contracture of the elbow. J Bone Joint Surg Am 1998; 80(8): 1603-15.

6. Byrd JW: Elbow arthroscopy for arthrofibrosis after type I radial head fractures. Arthroscopy 1994; 10(2): 162-5.

7. Júpiter JB, O’Driscoll SW, Cohen MS: The assessment and management of the stiff elbow. Instr Course Lect 2003; 52: 93-111.

8. Morrey BF, An KN, Chao EYS: Functional evaluation of the elbow. In: Morrey BF editor. The Elbow and Its Disorders, 2 Ed. Philadelphia, B. Saunders. 1993: 86-9.

9. Stans AA, Maritz NG, O’Driscoll SW, Morrey BF: Operative treatment of elbow contracture in patients twenty-one years of age or younger. J Bone Joint Surg Am 2002; 84(3): 382-7.

10. Husband JB, Hastings H 2nd: The lateral approach for operative release of post-traumatic contracture of the elbow. J Bone and Joint Surg Am 1990; 72(9): 1353-8.

11. Aldridge JM 3rd, Atkins TA, Gunneson EE, Urbaniak JR. Anterior release of the elbow for extension loss. J Bone Joint Surg Am 2004; 86(9): 1955-60.

12. Cikes A, Jolles BM, Farron A: Open elbow arthrolysis for posttraumatic elbow stiffness. J Orthop Trauma 2006; 20(6): 405-9.

13. Doornberg JN, Ring D, Fabian LM, Malhotra L, Zurakowski D, Júpiter JB: Pain dominates measurements of elbow function and health status. J Bone Joint Surg Am 2005; 87(8): 1725-31.