Post-traumatic contracture of the elbow. Operative release using a lateral collateral ligament sparing approach

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Rehabilitation Medicine

Background:

• Post-traumatic elbow stiffness is a common complication following injury or surgery.
• Traditional surgical approaches may involve disruption of critical anatomical structures, leading to increased morbidity.
• Restoring range of motion and function is paramount for patient recovery.

Purpose of the Study:

• To evaluate the efficacy of a modified lateral approach for releasing post-traumatic elbow contractures.
• To assess the impact of this technique on elbow joint mobility, forearm rotation, pain, and functional outcomes.
• To determine if the modified approach preserves the lateral collateral ligament and extensor tendon origins.

Main Methods:

• A modified lateral surgical approach was utilized in 22 patients with post-traumatic elbow stiffness.
• The technique was specifically designed to spare the lateral ligaments and extensor origins.
• Patients were followed prospectively with clinical assessments of range of motion, pain, and function.

Main Results:

• Significant improvement in total humeroulnar joint movement (mean increase from 74° to 129°).
• Significant improvement in forearm rotation (mean increase from 135° to 159°).
• Marked reduction in elbow pain and substantial enhancement of functional outcomes were reported.

Conclusions:

• The modified lateral approach offers a safe and effective method for managing post-traumatic elbow stiffness.
• This technique successfully restores elbow range of motion and function without compromising lateral elbow structures.
• Advantages include a less invasive procedure, reduced surgical morbidity, and facilitation of early rehabilitation.