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Outcome of open release for post-traumatic elbow stiffness.
Virak Tan1, Aaron Daluiski, Paul Simic
1Division of Hand and Microsurgery, Department of Orthopaedics, University of Medicine and Dentistry of New Jersey-The New Jersey Medical School, Newark, New Jersey 07101-1709, USA. tanvi@umdnj.edu
The Journal of Trauma
|September 13, 2006
Summary
Open elbow release effectively treats post-traumatic stiffness by removing limiting tethers and blocks, improving motion. While recurrence is possible, it often responds to further treatment.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Reconstructive Surgery
Background:
- Post-traumatic elbow stiffness results from anterior or posterior tethers/blocks restricting joint motion.
- Effective management of severe elbow contractures is crucial for restoring function.
Purpose of the Study:
- To evaluate the outcomes of open elbow release surgery for post-traumatic elbow stiffness.
- To assess the efficacy of surgical intervention in improving range of motion and function.
Main Methods:
- Retrospective review of 52 patients undergoing open elbow contracture release by a single surgeon.
- Average follow-up of 18.7 months; range of motion compared pre- and post-operatively.
- Patients had an average age of 35.1 years, with surgery performed 14 months post-injury.
Main Results:
- Significant improvement in elbow extension-flexion arc (57° to 116°) and forearm rotation (119° to 145°).
- 27% of patients required manipulation under anesthesia; 10% needed a second release surgery.
- Complications included infection, cubital tunnel syndrome, and reflex sympathetic dystrophy.
Conclusions:
- Open elbow release is a valuable procedure for addressing post-traumatic elbow stiffness.
- Postoperative recurrence of stiffness is common but manageable with manipulation and repeat procedures.
- Surgical excision of tethers and blocks offers functional improvement despite potential complications.