Arthroscopic arthrolysis for posttraumatic elbow stiffness

Area of Science:

• Orthopedic Surgery
• Arthroscopy
• Musculoskeletal Rehabilitation

Background:

• Post-traumatic elbow stiffness is a common and challenging clinical issue.
• Restoring elbow joint motion after trauma can be difficult, time-consuming, and costly.
• Arthroscopic capsular release offers a minimally invasive approach to treating stiff elbows.

Purpose of the Study:

• To assess the outcomes of arthroscopic capsular release for posttraumatic stiff elbows.
• To evaluate the improvement in range of motion and functional assessment after the procedure.
• To determine the safety and reliability of arthroscopic capsular release.

Main Methods:

• A prospective study evaluated 27 patients undergoing arthroscopic capsular release for posttraumatic elbow contracture.
• Measurements included range of motion (flexion, extension, total arc) and Elbow Function Assessment (EFA).
• Data were collected at 3, 12, and 24 months postoperatively.

Main Results:

• Significant improvements were observed in mean flexion (123° to 133°), extension (24° to 7°), and total ROM (99° to 125°).
• Elbow Function Assessment scores improved from 69 to 91 post-surgery.
• Outcomes remained consistent at 3, 12, and 24 months, with one superficial infection successfully treated.

Conclusions:

• Arthroscopic capsular release is a technically demanding but effective technique for improving elbow motion.
• The procedure is safe and reliable for managing posttraumatic elbow contractures.
• Significant functional gains and range of motion restoration are achievable.