Stiffness after Total Elbow Arthroplasty, What Is the Ideal Method of Release, A Comparative Study between Manipulation under Anasthesia and Arthrolysis.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 8
Abstract
Total Elbow Replacement (TER) is considered as the ultimate salvage operation to recreate a functional Range of Motion (ROM) in a stiff elbow after malunited distal Humerus Fracture. Post TER stiffness is not uncommon. It is usually extrinsic stiffness which may occur after variable time difference. Manipulation under Anasthesia (MUA) or Arthrolysis have been documented to be the effective procedures to regain functional ROM after post TER stiffness. In this case series 16 patients operated with linked semi-constrained non-custom Total Elbow implant developed post surgical stiffness at a mean of 45.25 months post TER and were treated to attain functional ROM by MUA or open arthrolysis. This level IV therapeutic, non control, cohort prospective study was done to compare whether Manipulation Under Anasthesia or Arthrolysis is a better nethod for regaining functional ROM in post TER stiffness.
Authors and Affiliations
Dr. Suhasish Roy
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