Posttraumatic Elbow Stiffness: Evaluation and Management

Bruno, Roderick J.; Lee, Michael L.; Strauch, Robert J.; Rosenwasser, Melvin P.

doi:10.5435/00124635-200203000-00006

Cited by 91 publications

(40 citation statements)

References 30 publications

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“…Previous reports of the results of surgical release have shown an overall improvement in ROM (Green and McCoy 1979, Mansat and Morrey 1998, Bruno et al 2002, Park et al 2004). Mansat and Morrey treated 38 elbows using a limited lateral approach to the anterior and posterior aspects of the capsule.…”

Section: Discussionmentioning

confidence: 89%

Surgical treatment of posttraumatic stiffness of the elbow: 2-year outcome in 21 patients after a column procedure

Gundlach

Eygendaal

2008

Acta Orthopaedica

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Background and purpose Posttraumatic stiffness is a common complication of elbow injury and can result in considerable impairment in daily life. We assessed the outcome in 21 patients treated by a column procedure.Patients and methods We followed 21 patients (average age 40 (10-76) years, 11 women) for 2 years after surgery for a stiff elbow. Range of motion (ROM) and function (EFA score) were measured preoperatively and at 3, 12, and 24 months postoperatively.Results Before surgery, the mean ROM was 69° (SD 24) and the mean EFA score was 74 (SD 13), which improved significantly to 104° (17) and 91 (6), respectively, after release. There were no significant differences between the postoperative measurements at 3, 12, and 24 months. No neurovascular complications were noted; 2 patients developed periarticular ossifications postoperatively.Interpretation A column procedure results in an increase in motion and functional scores at 2-year follow-up. Outcome at 3 months after treatment is the same as after 2 years.

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Section: Discussionmentioning

confidence: 89%

Surgical treatment of posttraumatic stiffness of the elbow: 2-year outcome in 21 patients after a column procedure

Gundlach

Eygendaal

2008

Acta Orthopaedica

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“…So werden posttraumatische Bewegungseinschränkungen nach knöcher-nen Verletzungen des Ellbogengelenkes in ca. 5% beschrieben [122,123].…”

Section: Bewegungseinschränkungen/ Gelenkeinsteifungenunclassified

Postoperative complications in trauma surgery

Josten

Schmidt

2009

Chirurg

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In the literature it has been unanimously reported that here is a heavy burden on operative disciplines due to the occurrence of complications and the commonly resulting accusation of an error in treatment. Most of these accusations affect the discipline of surgery and in the main aspects trauma surgery is disproportionally represented. This substantial burden and high rate of accusations against trauma surgery arises from the high transparency as complications in trauma surgery are visualizable. Dealing with complications is therefore an elementary function of trauma surgeons. The analysis of postoperative complications shows clearly that in most cases they do not only result from the postoperative course. The causes of postoperative complications in many cases are more likely to have already begun in the pre-operative and peri-operative phases. Pre-existing diseases and risk factors as well as operation planning and establishing indication status are in many cases the pre-operative and intra-operative origins of postoperative complications. In the present article the authors attempt to address the issues of new aspects of complications and therefore the quality management of trauma surgery, without making claim to completeness.

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“…The main purpose of rehabilitation in these cases is to improve the post-traumatic stiffness that occurs very rapidly after both the injury and surgical intervention [13]. The stiffness can be partially released through additional surgical intervention [14][15], but rehabilitation can achieve motion-range improvement with smaller strain on the patient.…”

Section: Introductionmentioning

confidence: 99%

Active Elbow Orthosis

Ripel

Krejsa

Hrbáček

et al. 2014

International Journal of Advanced Robotic Systems

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This paper presents a novel approach to the design of a motorized rehabilitation device -active elbow orthosis (AEO) -inspired by the principles of robotic exoskeletons. The device is currently designed for the elbow joint, but can be easily modified for other joints as well. AEO determines the motion activity of the patient using a strain gauge and utilizes this measurement to control the actuator that drives the forearm part of the orthosis. Patient activity level is related to a free arm measurement obtained via a calibration procedure prior to the exercise. A high-level control module offers several types of exercises mimicking the physiotherapist. The device was successfully verified by tests on a number of patients, resulting in extended range of elbow-joint motion.

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Posttraumatic Elbow Stiffness: Evaluation and Management

Cited by 91 publications

References 30 publications

Surgical treatment of posttraumatic stiffness of the elbow: 2-year outcome in 21 patients after a column procedure

Surgical treatment of posttraumatic stiffness of the elbow: 2-year outcome in 21 patients after a column procedure

Postoperative complications in trauma surgery

Active Elbow Orthosis

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