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- Title
Dirsek Ekleminin Heterotopik Ossifikasyonu; Rezeksiyon ile Yeterli Fonksiyonel İyileşme Oluyor mu?
- Authors
KAPICIOĞLU, Mehmet; SAĞLAM, Yavuz; ERŞEN, Ali; ATALAR, Ata Can; DEMİRHAN, Mehmet; DURMAZ, Hayati
- Abstract
Objective: Heterotopic ossification (HO) is a common cause of elbow stiffness especially surgical treatment after elbow trauma. In this study, our aim was to evaluate the mid-term functional outcomes of open surgical procedures for HO. Methods: This IRB approved retrospective review included all patients diagnosed with stiff elbow due to HO underwent surgical resection at a single institution from 2006 to 2013. Intrinsic pathologies were excluded. Range of motion (ROM) in sagittal and coronal planes, complications, functional scores such as Quick Disabilities of the Arm, Shoulder and Hand Score (Q-DASH), and Mayo Elbow Performance Score (MEPS) were evaluated before and after surgery. Results: There were 19 patients (16 male, 3 female) with a mean age of 38.6 (range 15-69). At an average follow-up of 36 (±8) months, the mean flexion-extension arc was improved from 27.4° to 99.2° (p<0.001) and mean supination-pronation arc was improved from 48.9° to 102.3° (p<0.001). The mean Q-DASH score was decreased from 68.2 to 17.1 (p<0.001) and mean MEPS was improved from 37.5 to 85.6 (p<0.001). Conclusion: Excision of heterotopic bone and releasing contracted tissues around elbow can provide a substantial increase in range of motion and improvement in clinical scores.
- Publication
Bezmialem Science, 2018, Vol 6, Issue 4, p1
- ISSN
2148-2373
- Publication type
Article
- DOI
10.14235/bs.2018.2467