Title: Elbow arthrolysis for traumatic arthrofibrosis. A shift towards minimally invasive surgery
Authors: Degreef, Ilse ×
De Smet, Luc #
Issue Date: Dec-2011
Publisher: Acta Medica Belgica
Series Title: Acta Orthopaedica Belgica vol:77 issue:6 pages:758-764
Abstract: The elbow joint needs to be both mobile and stable to
exercise its hinge function, which is the key to a
normal upper limb. Loss of motion in the elbow joint
leads to an exponential functional handicap. Elbow
trauma is a common cause of elbow stiffness. Open
elbow arthrolysis with release of the capsule has
been demonstrated to be a very useful treatment.
Arthroscopic elbow arthrolysis has now gained popularity,
along with the rapid evolution in elbow
arthroscopy. The authors present the preliminary
results of this technique in 12 patients, with a mean
follow-up of 19.4 months. The range of motion significantly
increased from an extension lag of 39.2° and a
flexion limited to 115° to an extension lag of 17.9° and
a flexion of 131.7°. On average, a 38° gain in range of
motion was achieved. This result is comparable with
a gain of 40° after open arthrolysis, reported by the
senior author in a previous study. The DASH score
improved from 39 to 28, but not significantly, and the
VAS for pain from 5.5 to 3.4 (significantly). All
patients would undergo the procedure again and they
experienced a mean subjective improvement of
63.6%. A literature review showed that open and
arthroscopic arthrolysis yield a gain of about 44.10°
and 31.25°, respectively. The conclusion is that there
certainly is a place for arthroscopic elbow arthrolysis.
ISSN: 0001-6462
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Orthopaedics Section (-)
Research Group for Musculoskeletal Rehabilitation
× corresponding author
# (joint) last author

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