Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Minimally Invasive Surgery - Elbow
Abstract number: 25395
ARTROSCOPIC TREATMENT OF ELBOW JOINT CONTRACTURE
Oleg EISMONT, Alexandre PIPKIN, Alexandre BELETSKY
Republican Scientific Practical Centre of Traumatology and Orthopaedic Surgery,
Minsk (BELARUS)
Efficiency evaluation of arthroscopic debridement of elbow joint for contracture of
different genesis. The analysis of results on arthroscopic treatment of 18 cases of
elbow joint contracture was conducted. The causes of contracture were: 9 - intraarticular
fracture of distal part of humerus, 3 - ulnar process fracture, 3 - rheumatoid
arthritis, 1 - septic arthritis, 1 - agnogenic chronic arthritis, 1 - heterotopic ossification
resulted from neuro injury of central genesis. The average age of the patients was
23±2.3 years old (15-38). Indications for arthroscopic joint debridement were
limitation in the range of motion with functional curve no less than 100°. The results
were evaluated within 1-3 years after operation. The operation included: joint
examination, front debridement (resection of coronoid process, adhesions removal),
proximal resection of joint capsule, debridement of olecranon fossa, resection of
olecranon, debridement of medial and lateral introversion, olecranon fossa
fenestration. In the case of rheumatoid arthritis with evident loss of rotational
movements, resection of head of radius was additionally applied. For removal of
large abarticular ossificate, an additional incision was applied. The clinical evaluation
of the results showed in 16 (88.9%) cases excellent and good results, i.e. complete
or partial recovery of joint function. On average, extension deficit reduced from 46 to
12°, flexion range increased from 92 to 136°, rotat ional movements became full. In
the cases of elbow joint contractures of different genesis, arthroscopic debridement is
indicated with differentiated choice of approaches and surgical technique depending
on the cause of contracture.
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