[RETRACTED ARTICLE] Post-traumatic flexion contractures of the elbow release via limited lateral approach
Journal Title: International Journal of Medical Science and Public Health - Year 2014, Vol 3, Issue 5
Abstract
Background: Varying surgical techniques, patient groups and results have been described regards the surgical treatment of post traumatic flexion contracture of the elbow. Aims & Objective: We present our experience using the limited lateral approach on patients with carefully defined contracture types. Materials and Methods: Surgical release of post-traumatic flexion contracture of the elbow was performed in 23 patients via a limited lateral approach. All patients had an established flexion contracture with significant functional deficit. Contracture types were classified as either extrinsic if the contracture was not associated with damage to the joint surface or as intrinsic if it was. Overall, the mean preoperative deformity was 55 degrees (95%CI 48 – 61) which was corrected at the time of surgery to 17 degrees (95%CI 12 – 22). Results: At short-term follow-up (7.5 months) the mean residual deformity was 25 degrees (95%CI 19 – 30) and at medium-term followup (43 months) it was 32 degrees (95%CI 25 – 39). This deformity correction was significant (p < 0.01). One patient suffered a postoperative complication with transient dysaesthesia in the distribution of the ulnar nerve, which had resolved at six weeks. Sixteen patients had an extrinsic contracture and seven an intrinsic. Although all patients were satisfied with the results of their surgery, patients with an extrinsic contracture had significantly (p = 0.02) better results than those with an intrinsic contracture. (28 degrees compared to 48 degrees at medium term follow up). Conclusion: Surgical release of post-traumatic flexion contracture of the elbow via a limited lateral approach is a safe technique, which reliably improves extension especially for extrinsic contractures. In this series all patients with an extrinsic contracture regained a functional range of movement and were satisfied with their surgery
Authors and Affiliations
Rajesh Chavda, Dhiraj Chawada, Yogita Kataria
Keywords
Related Articles
- EP ID EP143148
- DOI 10.5455/ijmsph.2014.210220145
- Views 83
- Downloads 0
Magnitude and determinants of domestic violence against ever married women in Sohag, Egypt
Background: Violence against woman is a pervasive public health issue. Domestic violence (DV) committed by husbands against their wives is the most common type of violence and has many negative impacts on physical and me...
Diagnostic evaluation of magnetic resonance imaging in shoulder pathologies
Background: Magnetic resonance imaging (MRI) is a sensitive and accurate non-invasive tool in investigating shoulder pathology, because of its multiplanar capability and excellent soft tissue resolution. Objective: The p...
Sleep quality among residents of Saudi Board of Family Medicine compared to service physicians in primary care centers
Background: Medical specialties residents are exposed to several factors that can affect their sleep. On-call duties, exam stress, and qualification issues are the main factors. Objectives: To assess sleep quality...
Audit of sepsis in neonatal surgeries at tertiary-care level hospital in India
Background: Postoperative sepsis, which has high morbidity and mortality, is a major problem affecting the outcome of neonatal surgeries. Adequate treatment and preventive measures for sepsis can decrease the morbidi...
Contraceptive needs and practices among married women of reproductive age in rural Maharashtra
Background: Control of population is a major concern for the health administrators today. Despite significant advances in contraception, contraceptive use is low. It is essential to know the factors contributing to utili...