Die Distraktionsarthrolyse bei Arthrofibrose des Ellenbogengelenks
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Die Distraktionsarthrolyse bei Arthrofibrose des Ellenbogengelenks. / Pennig, Dietmar; Mader, Konrad; Heck, Steffen.
In: OPER ORTHOP TRAUMATO, Vol. 21, No. 6, 12.2009, p. 521-32.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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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 -