[Open arthrolysis in preserved joint surface geometry]

This review article discusses the operative treatment options for release of essentially extracartilaginous contractures of the elbow (referred to as extrinsic contractures). Indications, preoperative work-up, specific operative strategy and techniques, rehabilitation, possible complications, and results are discussed and compared. Special reference is made to the technique of sequential surgical release based on the transhumeral approach. This technique makes it possible to optimize the articular offset while preserving the static and dynamic stabilizers of the joint. Treatment of contractures of the elbow remains dangerous and delicate. It deserves experienced surgical handling in order to avoid complications. Thus, it remains to be hoped that qualified management will help to improve the relatively mediocre functional results.