Comparison of results of arthroscopic arthrolysis between traumatic and degenerative elbow stiffness - 22/03/23
, Alexandre Petit b, Jérôme Brunet b, Fabrice Rabarin b, Yann Saint Cast b, Guy Raimbeau b, Nicolas Bigorre b
Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.
Connectez-vous pour en bénéficier!
Abstract |
Introduction |
Elbow stiffness significantly affects the patient's quality of life. This joint must have at least 30°/130° extension/flexion and 50°/50° pronation/supination to function normally according to Morrey.
Hypothesis |
The objective of this study was to evaluate functional outcome of arthroscopic arthrolysis by comparing stiffness of post-traumatic and degenerative origin. The hypothesis was that this surgical technique allows functional improvement in any indication but with a faster result in degenerative pathology.
Material and methods |
This was a retrospective study including all patients who underwent elbow arthrolysis under arthroscopy, operated on by a single operator, between 2013 and 2020. Thirty-four patients were included, with a mean age of 45years (range, 18–78years). Patients were divided into two groups according to etiology. Group A (post-traumatic) consisted of 18 patients with a mean age of 33years (range, 18–64years) and group B (degenerative) of 16 patients with a mean age of 59years (range, 42–78years). All patients were clinically assessed at a mean 27months. Range of motion, level of satisfaction and Mayo Elbow Performance Score (MEPS) were collected.
Results |
In the overall series, preoperative range of motion was 81° and significantly improved postoperatively to 122° (p<0.001). The preoperative data of the 2 groups were comparable except for age (p<0.001) and MEPS (p=0.044). Postoperatively, range of motion improved significantly in both groups but with greater gain in group A (p=0.003). MEPS improved significantly in both groups, but the postoperative score was poorer in group B (p=0.001). Recovery of range of motion was faster in group B (2.4months) than in group A (3.7months) (p=0.021). There were 5 complications: 4 secondary decompensations of ulnar tunnel syndrome, and 1 postoperative radial nerve paresis. 94% of patients were satisfied or very satisfied with the result of surgery.
Conclusion |
Arthroscopic arthrolysis is an effective option for post-traumatic and non-traumatic elbow stiffness. Improvement was significant in terms of both function and range of motion, with, however, better results in the post-traumatic group but results achieved more rapidly in the degenerative pathology group.
Level of evidence |
IV, retrospective study.
Le texte complet de cet article est disponible en PDF.Keywords : Elbow stiffness, Elbow arthrolysis, Arthroscopy, Degenerative, Post-traumatic
Plan
Vol 109 - N° 2
Article 103436- avril 2023 Retour au numéro
Article précédent
- Surgical treatment of terrible triad of the elbow: Retrospective continuous 50-patient series at 2 years’ follow-up
- Clémentine Corbet, Mehdi Boudissa, Séverine Dao Lena, Sébastien Ruatti, Denis Corcella, Jérôme Tonetti
- Atypical fractures of the ulna: Effect of bowing of the ulna on fracture location and occurrence
- Sang Ki Lee, Young Sun An, Won Sik Choy
Bienvenue sur EM-consulte, la référence des professionnels de santé.