Universität zu Köln

Hackl, Michael ORCID: 0000-0002-6183-5621, Wegmann, Kilian, Leschinger, Tim ORCID: 0000-0003-1319-6949, Borda, Alexander and Mueller, Lars Peter (2016). Prospective short-term results of arthroscopic elbow arthrolysis. Obere Extremitaet-Schulter-Ellenbogen-Hand, 11 (3). S. 172 - 178. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1862-6602

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Abstract

Background. Arthroscopic arthrolysis is a minimally invasive but technically demanding treatment option for elbow stiffness. Prospective clinical data are limited thus far. Objectives. The aim was to analyze the clinical short-term results of arthroscopic elbow arthrolysis and to evaluate factors predictive of the outcome. Materials and methods. 28 patients (16 men, 12 women) following arthroscopic arthrolysis were enrolled in this study. The VAS (visual analogue scale) score, range of motion (ROM), and DASH score were obtained preoperatively as well as 6 weeks and 12 months after surgery. Posttraumatic elbow stiffness was present in 15 cases, elbow stiffness was due to primary osteoarthritis in 10 cases and due to other reasons in 3 cases. Osteoarthritis was absent in 1 case, grade 1 osteoarthritis was present in 7 cases, grade 2 in 9 cases and grade 3 in 11 cases according to the Broberg and Morrey classification. Results. The VAS score was 5.3 +/- 2.4 points preoperatively and decreased to 2.8 +/- 2.7 points after 6 weeks and 1.6 +/- 1.8 points after 12 months (p = 0.001). The ROM increased from 86+/-30 degrees to 106+/-28 degrees after 6 weeks and to 121+/-18 degrees 12 months postoperatively (p = 0.01). The DASH score improved from 39.3 +/- 17.8 points to 23.8 +/- 15.7 points after 6 weeks and to 11.3 +/- 8.7 points 12months postoperatively (p = 0.001). Sex, age, grade of osteoarthritis and cause of elbow stiffness were not predictive of the clinical outcome. Complications were seen in 2 patients (7%). Conclusions. Arthroscopic arthrolysis represents an effective treatment method for elbow stiffness, which increases the range of motion, decreases pain levels and thus improves the functionality of the affected extremity regardless of sex, age, severity of osteoarthritis and etiology of elbow stiffness.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hackl, Michael UNSPECIFIED orcid.org/0000-0002-6183-5621 UNSPECIFIED Wegmann, Kilian UNSPECIFIED UNSPECIFIED UNSPECIFIED Leschinger, Tim UNSPECIFIED orcid.org/0000-0003-1319-6949 UNSPECIFIED Borda, Alexander UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Lars Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-263547
DOI:	10.1007/s11678-016-0367-z
Journal or Publication Title:	Obere Extremitaet-Schulter-Ellenbogen-Hand
Volume:	11
Number:	3
Page Range:	S. 172 - 178
Date:	2016
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1862-6602
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language RADIAL NERVE; CONTRACTURE; STIFFNESS; RELEASE; ARTHROFIBROSIS; OUTCOMES; MOTION; JOINT Multiple languages Orthopedics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/26354