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Open Arthrolysis for Chronic Elbow Dislocation with Extremely Severe Stiffness in Children
Chi Kang1, Xin Liu1, Ming Xiang1
1Children's Orthopedics Department, Sichuan Provincial Orthopaedic Hospital, Chengdu, China.
Orthopaedic Surgery
|January 4, 2023
Summary
Open arthrolysis effectively treated severe elbow stiffness in children with chronic dislocations, significantly improving range of motion and function. This surgical approach offers a promising solution for pediatric elbow injuries.
Area of Science:
- Pediatric Orthopedics
- Traumatology
- Surgical Innovation
Background:
- Extremely severe elbow stiffness following chronic dislocation in children is a rare condition.
- Limited studies exist on effective surgical interventions for this specific pediatric orthopedic challenge.
Purpose of the Study:
- To investigate surgical treatment options for chronic elbow dislocation with severe periarticular stiffness in children.
- To analyze the efficacy of chosen surgical modalities in restoring elbow function.
Main Methods:
- Retrospective analysis of 21 pediatric patients (mean age 11 years) with chronic elbow dislocation and severe stiffness.
- All patients underwent open arthrolysis, followed by immediate passive functional exercises.
- Elbow range of motion (ROM), flexion/extension angles, and Mayo Elbow Performance Score (MEPS) were assessed pre- and post-operatively.
Main Results:
- Open arthrolysis resulted in significant improvements in elbow ROM, flexion, and extension angles (p < 0.01).
- Postoperative MEPS averaged 78.57, a significant increase from the preoperative score of 29.76, with an 81% excellent rating.
- Only one patient experienced recurrent stiffness, with overall functional improvement observed.
Conclusions:
- Open arthrolysis is an effective surgical treatment for chronic elbow dislocation with extreme stiffness in children.
- The procedure demonstrates significant efficacy in improving joint mobility and functional outcomes in pediatric patients.
