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Compass elbow hinge: short-term results in five adolescents.
Khalid Ayoub1, Paul Gibbons, Christopher F Bradish
1Paediatric Orthopaedic Service, The Royal Orthopaedic Hospital, Birmingham, UK. khalids@onetel.net.uk
Journal of Pediatric Orthopedics. Part B
|December 16, 2004
Summary
The Compass Elbow Hinge effectively treated elbow contractures in pediatric patients, improving motion in most cases. This device utilizes Ilizarov
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Biomedical engineering
Background:
- The Compass Elbow Hinge, based on Ilizarov's principles, was designed for elbow contractures.
- Previous studies focused on adult applications for ankylosis and instability.
Purpose of the Study:
- To evaluate the efficacy and safety of the Compass Elbow Hinge in pediatric patients.
- To assess outcomes for post-traumatic elbow stiffness and post-septic arthritis ankylosis.
Main Methods:
- Five pediatric patients (12-15 years) with elbow issues were treated.
- The Compass Elbow Hinge was used with open soft tissue release.
- Postoperative mobilization and physiotherapy were initiated immediately.
Main Results:
- Improved range of motion was observed in three out of five patients.
- Complications included pin track infections (3 patients) and transient ulnar neuropraxia (1 patient).
- Follow-up ranged from 5 to 36 months.
Conclusions:
- The Compass Elbow Hinge shows potential for treating pediatric elbow contractures and stiffness.
- Surgical release and early mobilization are crucial components of treatment.
- Further research is warranted to optimize outcomes in pediatric populations.