AI Article Synopsis
- The study aimed to explore the effectiveness of surgical treatment and rehabilitation for patients suffering from post-traumatic elbow stiffness due to heterotopic ossification (HO).
- A review of 15 patients undergoing surgery showed significant improvements in elbow function and range of motion after treatment, with no recurrence of HO during follow-up.
- The findings suggest that surgical excision, contracture release, and a comprehensive rehab plan are effective for patients who do not respond to conservative treatments for this condition.
Article Abstract
Aim: To investigate surgical treatment, postoperative rehabilitation and prevention of heterotopic ossification (HO) in patients with post-traumatic elbow stiffness.
Methods: We performed a retrospective review of patients with post-traumatic elbow stiffness combined with HO between 2007 and 2021. This study was performed on a total of 15 patients (18 elbows) admitted to our hospital, consisting of 12 males and 3 females, with post-traumatic stiffness of the elbow combined with HO, where elbow function could not be recovered by rehabilitation and orthosis treatment. Fifteen patients were treated by surgical excision of heterotopic bones and release of elbow contracture combined with postoperative rehabilitation and orthosis-wearing. Comprehensive treatments, including radiation, oral ibuprofen medication, and manipulation techniques to improve range of motion, were used to prevent HO recurrence. The flexion-extension arc and functional score of the elbow were measured after treatment and compared with the preoperative measurements. Roentgenography was used to observe HO recurrence.
Results: After surgical treatment and postoperative rehabilitation, the patients' range of motion improved, and the functional score improved considerably. The postoperative flexion-extension arc and The Hospital for Special Surgery (HSS) functional score were statistically significantly higher than the preoperative values (p < 0.01). Roentgenographic examination showed no HO recurrence during the follow-up period.
Conclusion: Surgical excision of heterotopic bones and elbow contracture release combined with postoperative rehabilitation and preventative HO measures can be an effective treatment for cases of post-traumatic elbow stiffness combined with HO, for which conservative treatment is ineffective.
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| http://dx.doi.org/10.2340/jphs.v59.18363 | DOI Listing |
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