Elbow arthroscopy in stiff elbow

被引:49
作者
Pederzini, Luigi Adriano [1 ]
Nicoletta, Fabio [2 ]
Tosi, Massimo [3 ]
Prandini, Mauro [4 ]
Tripoli, Emanuele [5 ]
Cossio, Andrea [6 ]
机构
[1] New Sassuolo Hosp, Orthopaed & Arthroscop Dept, I-41100 Modena, Italy
[2] New Sassuolo Hosp, Orthopaed & Arthroscop Dept, I-41043 Modena, Italy
[3] New Sassuolo Hosp, Orthopaed & Arthroscop Dept, I-41011 Modena, Campogalliano, Italy
[4] New Sassuolo Hosp, Orthopaed & Arthroscop Dept, I-41051 Modena, Castelnuovo Ran, Italy
[5] New Sassuolo Hosp, Orthopaed & Arthroscop Dept, I-41124 Modena, Italy
[6] Univ Milano Bicocca, San Gerardo Hosp, Dept Orthopaed, I-20124 Milan, Italy
关键词
Arthroscopy; Elbow; Stiffness; Capsulectomy; THERAPEUTIC BENEFITS; SURGERY;
D O I
10.1007/s00167-013-2424-0
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The purpose of this study was to evaluate and review the functional outcomes after arthroscopic surgery in post-traumatic and degenerative elbow contractures. Between 2004 and 2008, 243 patients with post-traumatic or degenerative elbow stiffness were treated with arthroscopic surgery. A total of 212 patients were reviewed at an average of 58 months follow-up (SD +/- A 17.3). The patients were divided into two groups: group A with post-traumatic stiffness, and group B with degenerative stiffness. Arthroscopic procedures performed included: synovectomy, debridement of osteophytes, removal of loose bodies, anterior and posterior capsulectomy, radial head excision. Ulnar nerve neurolysis was usually performed. The following data were recorded and analysed: sex, age, paraesthesia, previous surgical treatment and complications. Patient outcome was assessed pre- and post-operatively by a visual analogue scale and by the Mayo Elbow Performance Index (MEPI), which assesses pain, ROM, stability and function. The total average ROM improved by 33A degrees in group A and 20A degrees in Group B. The MEPI improved from 60 to 81 in group A, and from 65 to 91 in group B. Arthroscopic surgery in post-traumatic and degenerative elbow contractures can be considered a safe, useful, with a long learning curve procedure that offers important improvement of the ROM decreasing surgical morbidity. IV.
引用
收藏
页码:467 / 473
页数:7
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