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- Title
Functional outcome aft er surgical release of patients presented with post-traumatic elbow stiff ness.
- Authors
Ullah, Kaleem; chaudhry, Ejaz Ali; Ilyas, Saad; Ahmed, Ashfaq; Shahid, Nida; Latif, Muhammad; Akram, Rizwan; Ahmed, Naeem; Aziz, Amer
- Abstract
Introduction: Trauma to the elbow is an ordinary source of joint stiff ness that might require surgical release. Release of the stiff elbow can be done by open or arthroscopic approach. Th ere is no high-level evidence for the best surgical treatment modality for post-traumatic elbow stiff ness. Objective: Objective of this study is to assess the percentage improvement in range of motion aft er surgical release for management of patients of post-traumatic stiff elbows. Material and Methods: Th is Quasi experimental study was done at Ghurki Trust Teaching Hospital, Lahore from January 2018 to December 2018. Total 95-patients fulfi lling the selection criteria were included in this study from Orthopedic Ward of Department of Orthopedic and Spine Surgery, Ghurki Trust Hospital, Lahore. An informed consent was obtained. Demographic profi le was obtained. Th en ROM at baseline was noted. Th en all patients underwent surgical release under general anesthesia by a single surgical team. Bone resection procedure was used to release the stiff ness. Patients were followed-up in OPD aft er 4-weeks, 12-weeks and then 24-weeks. Th en aft er 24-weeks, ROM was noted and percentage improvement was calculated. Results: In this study percentage improvement in ROM aft er surgical release for management of patients of post-traumatic stiff elbows was 59.83%±8.39. Minimum and maximum percentage of improvement in ROM was 43% and 74.14% respectively. However age, gender, duration of disease and body mass index of patients was not signifi cantly associated with percentage improvement in ROM aft er surgical release. Conclusion: In this study patients undergoing surgical treatment of post traumatic stiff ness of the elbow had good percentage improvement in ROM. Th is shows the eff ectiveness of surgical release in post-traumatic stiff elbows. However age, gender, duration of disease and body mass index did not establish any signifi cant changes in the prognosis regarding release of the elbow stiff ness.
- Subjects
LAHORE (Pakistan); ELBOW; RANGE of motion of joints; BODY mass index; SPINAL surgery; DISEASE duration
- Publication
Pakistan Journal of Surgery, 2020, Vol 36, Issue 1, p53
- ISSN
0258-8552
- Publication type
Article