A survey of postoperative elbow immobilization approaches

A survey of 200 North American burn units was designed to gather data about elbow immobilization positions and methods. Respondents were asked to identify the position of elbow and forearm immobilization after grafting to the upper extremity, the rationale for this, the location of the burn for the immobilization position chosen, who was responsible for immobilizing the patient's elbow after surgery, what type of material was used, and on what day range of motion to the elbow was resumed. Results indicated that elbow immobilization positions varied from full extension to more than 20 degrees of flexion, although full extension and slight flexion were used most, as was the forearm midposition. The rationale for immobilization that was most frequently given was prevention of contractures. Occupational therapists were most likely to be involved in or responsible for elbow immobilization, and thermoplastic materials were used most often. The day that range of motion was resumed also varied but was most frequently postoperative day 5.