Die Distraktionsarthrolyse bei Arthrofibrose des Ellenbogengelenks

TY - JOUR

T1 - Die Distraktionsarthrolyse bei Arthrofibrose des Ellenbogengelenks

AU - Pennig, Dietmar

AU - Mader, Konrad

AU - Heck, Steffen

PY - 2009/12

Y1 - 2009/12

N2 - OBJECTIVE: Loss of motion of the elbow is not uncommon after trauma, burns, or coma and severely impairs upper limb function. Loss of motion may be difficult to avoid and is challenging to treat. Detailed analysis of the etiology and diagnostic evaluation are of utmost importance for planning any surgical intervention for elbow stiffness. Most activities of daily living are possible, if the elbow has a range of motion of 100 degrees (30-130 degrees of flexion, Morrey's arc of motion).INDICATIONS: Stiff elbow, usually defined as less than 30 degrees extension or less than 130 degrees flexion.CONTRAINDICATIONS: Poor compliance, poorly controlled diabetes mellitus, active hepatitis B and C infection, HIV infection, acute articular infection.SURGICAL TECHNIQUE: Current operative techniques, such as closed distraction with external fixation (arthrodiatasis), are presented and evaluated. Elbow arthrolysis is a technically demanding procedure.POSTOPERATIVE MANAGEMENT: If indication and techniques are used correctly and surgeon, physiotherapist, and patient are familiar with the procedure, good long-term results may be achieved.RESULTS: In 14 children and adolescents the results after 5 years showed an increase of preoperative range of motion from 37 degrees to 108 degrees (flexion/extension; 75-130 degrees ) postoperatively.

AB - OBJECTIVE: Loss of motion of the elbow is not uncommon after trauma, burns, or coma and severely impairs upper limb function. Loss of motion may be difficult to avoid and is challenging to treat. Detailed analysis of the etiology and diagnostic evaluation are of utmost importance for planning any surgical intervention for elbow stiffness. Most activities of daily living are possible, if the elbow has a range of motion of 100 degrees (30-130 degrees of flexion, Morrey's arc of motion).INDICATIONS: Stiff elbow, usually defined as less than 30 degrees extension or less than 130 degrees flexion.CONTRAINDICATIONS: Poor compliance, poorly controlled diabetes mellitus, active hepatitis B and C infection, HIV infection, acute articular infection.SURGICAL TECHNIQUE: Current operative techniques, such as closed distraction with external fixation (arthrodiatasis), are presented and evaluated. Elbow arthrolysis is a technically demanding procedure.POSTOPERATIVE MANAGEMENT: If indication and techniques are used correctly and surgeon, physiotherapist, and patient are familiar with the procedure, good long-term results may be achieved.RESULTS: In 14 children and adolescents the results after 5 years showed an increase of preoperative range of motion from 37 degrees to 108 degrees (flexion/extension; 75-130 degrees ) postoperatively.

KW - Adolescent

KW - Ankylosis

KW - Arthroplasty

KW - Child

KW - Elbow Joint

KW - Female

KW - Humans

KW - Joint Instability

KW - Male

KW - Osteogenesis, Distraction

KW - Range of Motion, Articular

KW - Treatment Outcome

KW - Clinical Trial

KW - English Abstract

KW - Journal Article

U2 - 10.1007/s00064-009-2002-2

DO - 10.1007/s00064-009-2002-2

M3 - SCORING: Zeitschriftenaufsatz

C2 - 20087714

VL - 21

SP - 521

EP - 532

JO - OPER ORTHOP TRAUMATO

JF - OPER ORTHOP TRAUMATO

SN - 0934-6694

IS - 6

ER -