Clinical results of open arthrolysis by elevated lateral and medial collateral ligament-musculature complex from supracondylar ridge of humerus in treatment of post-traumatic elbow stiffness
OBJECTIVE: To evaluate the results of open arthrolysis by elevated the lateral and medial collateral ligament-musculature complex from the supracondylar ridge of the humerus in treatment of post-traumatic elbow stiffness.
METHODS: From March 2003 to December 2007, 33 patients with post-traumatic elbow stiffness were treated with open arthrolysis by elevated the lateral and medial collateral ligament-musculature complex from the supracondylar ridge of the humerus. There were 23 males and 10 females, aged 17-70 years old (mean 41.8 years old). According to Morrey, 15 cases were extremely serious (less than 30 degrees extension-flexion arc) and 18 cases were serious (30-60 degrees extension-flexion arc). The range of motion of the elbow stiffness was (32.5 +/- 28.9) degrees and the Mayo score was 51.9 +/-13.1 before operation. All initial fractures were healed according to clinical examination and X-rays films. All patients present with a post-traumatic elbow stiffness and the average period from initial trauma to elbow arthrolysis was 16.9 months (2-72 months).
RESULTS: Wound infection occurred in 1 patient and cured after dressing change and anti-infectious treatment. The wounds healed by first intension in 32 cases. No patient showed sign of elbow instability and debilitating pain. All patients were followed up 6 months to 5 years (mean 3.3 years). At last follow up, the Mayo score was 82.3 +/- 14.4 and the range of motion of elbow stiffness was (108.8 +/- 36.0) degrees; showing significant differences when compared with preoperation (P < 0.05). According to Mayo evaluation, the results were excellent in 11 cases, good in 18 cases, fair in 2 cases, and poor in 2 cases, the excellent and good rate was 87.88%. Thirty-one patients achieve satisfactory results. Two patients were not satisfied with the result, but the satisfactory results were achieved by a second arthrolysis.
CONCLUSION: Open elbow arthrolysis and postoperative rehabilitation for patients with elbow stiffness can improve joint function and ensure the stability of elbows.
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2009 |
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| Erschienen: |
2009 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:23 |
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| Enthalten in: |
Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery - 23(2009), 9 vom: 01. Sept., Seite 1087-91 |
| Sprache: |
Chinesisch |
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| Beteiligte Personen: |
Zhang, Dingwei [VerfasserIn] |
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| Themen: |
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| Anmerkungen: |
Date Completed 06.04.2010 Date Revised 07.12.2022 published: Print Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM191944386 |
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| 100 | 1 | |a Zhang, Dingwei |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Clinical results of open arthrolysis by elevated lateral and medial collateral ligament-musculature complex from supracondylar ridge of humerus in treatment of post-traumatic elbow stiffness |
| 264 | 1 | |c 2009 | |
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| 500 | |a Date Completed 06.04.2010 | ||
| 500 | |a Date Revised 07.12.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: To evaluate the results of open arthrolysis by elevated the lateral and medial collateral ligament-musculature complex from the supracondylar ridge of the humerus in treatment of post-traumatic elbow stiffness | ||
| 520 | |a METHODS: From March 2003 to December 2007, 33 patients with post-traumatic elbow stiffness were treated with open arthrolysis by elevated the lateral and medial collateral ligament-musculature complex from the supracondylar ridge of the humerus. There were 23 males and 10 females, aged 17-70 years old (mean 41.8 years old). According to Morrey, 15 cases were extremely serious (less than 30 degrees extension-flexion arc) and 18 cases were serious (30-60 degrees extension-flexion arc). The range of motion of the elbow stiffness was (32.5 +/- 28.9) degrees and the Mayo score was 51.9 +/-13.1 before operation. All initial fractures were healed according to clinical examination and X-rays films. All patients present with a post-traumatic elbow stiffness and the average period from initial trauma to elbow arthrolysis was 16.9 months (2-72 months) | ||
| 520 | |a RESULTS: Wound infection occurred in 1 patient and cured after dressing change and anti-infectious treatment. The wounds healed by first intension in 32 cases. No patient showed sign of elbow instability and debilitating pain. All patients were followed up 6 months to 5 years (mean 3.3 years). At last follow up, the Mayo score was 82.3 +/- 14.4 and the range of motion of elbow stiffness was (108.8 +/- 36.0) degrees; showing significant differences when compared with preoperation (P < 0.05). According to Mayo evaluation, the results were excellent in 11 cases, good in 18 cases, fair in 2 cases, and poor in 2 cases, the excellent and good rate was 87.88%. Thirty-one patients achieve satisfactory results. Two patients were not satisfied with the result, but the satisfactory results were achieved by a second arthrolysis | ||
| 520 | |a CONCLUSION: Open elbow arthrolysis and postoperative rehabilitation for patients with elbow stiffness can improve joint function and ensure the stability of elbows | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Evaluation Study | |
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Huang, Fuguo |e verfasserin |4 aut | |
| 700 | 1 | |a Xiang, Zhou |e verfasserin |4 aut | |
| 700 | 1 | |a Cen, Shiqiang |e verfasserin |4 aut | |
| 700 | 1 | |a Zhong, Gang |e verfasserin |4 aut | |
| 700 | 1 | |a Tan, Zhenwei |e verfasserin |4 aut | |
| 700 | 1 | |a Liu, Gang |e verfasserin |4 aut | |
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