Distraktionsarthroplastik zur Behandlung der posttraumatischen Ellenbogensteife

TY - JOUR

T1 - Distraktionsarthroplastik zur Behandlung der posttraumatischen Ellenbogensteife

AU - Pennig, D

AU - Heck, S

AU - Mader, K

PY - 2011/4

Y1 - 2011/4

N2 - A stiff elbow is usually defined as having less than 30° in extension or less than 130° in flexion. Most activities of daily living are possible if the elbow has a range of motion of 100° (30-130° of flexion, Morrey's arc of motion). Loss of mobility of the elbow is not uncommon after trauma, burns or coma and severely impairs upper limb function. Loss of mobility may be difficult to avoid and is challenging to treat. Detailed analysis of the etiology and diagnostic evaluation is of utmost importance for planning any surgical intervention for elbow stiffness. Current operative techniques, such as closed distraction with external fixation (arthroplasty), are presented and evaluated. Elbow arthrolysis is a technically demanding procedure but if the indications and techniques are used correctly and the surgeon, physiotherapist and even the patient are familiar with the procedure, good long-term results may be achieved. Contraindications are poor compliance, poorly controlled diabetes mellitus, active hepatitis B and C infections, HIV infection and acute articular infections.

AB - A stiff elbow is usually defined as having less than 30° in extension or less than 130° in flexion. Most activities of daily living are possible if the elbow has a range of motion of 100° (30-130° of flexion, Morrey's arc of motion). Loss of mobility of the elbow is not uncommon after trauma, burns or coma and severely impairs upper limb function. Loss of mobility may be difficult to avoid and is challenging to treat. Detailed analysis of the etiology and diagnostic evaluation is of utmost importance for planning any surgical intervention for elbow stiffness. Current operative techniques, such as closed distraction with external fixation (arthroplasty), are presented and evaluated. Elbow arthrolysis is a technically demanding procedure but if the indications and techniques are used correctly and the surgeon, physiotherapist and even the patient are familiar with the procedure, good long-term results may be achieved. Contraindications are poor compliance, poorly controlled diabetes mellitus, active hepatitis B and C infections, HIV infection and acute articular infections.

KW - Arthroplasty, Replacement, Ankle

KW - Elbow Joint

KW - Humans

KW - Joint Instability

KW - Osteogenesis, Distraction

KW - English Abstract

KW - Journal Article

U2 - 10.1007/s00132-010-1668-3

DO - 10.1007/s00132-010-1668-3

M3 - SCORING: Zeitschriftenaufsatz

C2 - 21424302

VL - 40

SP - 329

EP - 338

JO - ORTHOPADE

JF - ORTHOPADE

SN - 0085-4530

IS - 4

ER -