Comparative study of the functional outcomes of combined medial-lateral approach arthrolysis with or without external fixation for severe elbow stiffness

Abstract Background To evaluate and compare the functional outcomes of combined medial-lateral approach open arthrolysis with and without hinged external fixation. Methods We retrospectively collected and analyzed the clinical data of patients with severe elbow stiffness who were treated in our inst...

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Autores principales:	Dan Xiao, Maoqi Gong, Chen Chen, Yejun Zha, Ting Li, Shangwei Ji, Kehan Hua, Weitong Sun, Xieyuan Jiang
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Elbow Stiffness Combined medial-lateral approach Arthrolysis Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/ad218d6e399c459ba736d8c4f7063f80
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spelling	oai:doaj.org-article:ad218d6e399c459ba736d8c4f7063f802021-11-14T12:28:21ZComparative study of the functional outcomes of combined medial-lateral approach arthrolysis with or without external fixation for severe elbow stiffness10.1186/s12891-021-04796-31471-2474https://doaj.org/article/ad218d6e399c459ba736d8c4f7063f802021-11-01T00:00:00Zhttps://doi.org/10.1186/s12891-021-04796-3https://doaj.org/toc/1471-2474Abstract Background To evaluate and compare the functional outcomes of combined medial-lateral approach open arthrolysis with and without hinged external fixation. Methods We retrospectively collected and analyzed the clinical data of patients with severe elbow stiffness who were treated in our institution from January 2018 to January 2019. All of them were treated with combined medial-lateral approach arthrolysis. There were 20 patients who had the hinged external fixation placed and 29 patients without the placement of the external fixation. Their baseline characteristics and functional outcomes were evaluated and compared. Results The average follow-up time was 28.4 ± 3.7 months. There were no significant differences in the ROM of the elbow, MEPS, VAS, DASH, or complications between the two groups. The operation time and treatment cost of the patients without external fixation were significantly lower than patients with external fixation. Conclusion Combined medial-lateral approach open elbow arthrolysis without external fixation is a safe and effective way to treat elbow stiffness. Level of evidence Therapeutic Level III; Retrospective Cohort Comparison; Treatment Study.Dan XiaoMaoqi GongChen ChenYejun ZhaTing LiShangwei JiKehan HuaWeitong SunXieyuan JiangBMCarticleElbowStiffnessCombined medial-lateral approachArthrolysisDiseases of the musculoskeletal systemRC925-935ENBMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Elbow Stiffness Combined medial-lateral approach Arthrolysis Diseases of the musculoskeletal system RC925-935
spellingShingle	Elbow Stiffness Combined medial-lateral approach Arthrolysis Diseases of the musculoskeletal system RC925-935 Dan Xiao Maoqi Gong Chen Chen Yejun Zha Ting Li Shangwei Ji Kehan Hua Weitong Sun Xieyuan Jiang Comparative study of the functional outcomes of combined medial-lateral approach arthrolysis with or without external fixation for severe elbow stiffness
description	Abstract Background To evaluate and compare the functional outcomes of combined medial-lateral approach open arthrolysis with and without hinged external fixation. Methods We retrospectively collected and analyzed the clinical data of patients with severe elbow stiffness who were treated in our institution from January 2018 to January 2019. All of them were treated with combined medial-lateral approach arthrolysis. There were 20 patients who had the hinged external fixation placed and 29 patients without the placement of the external fixation. Their baseline characteristics and functional outcomes were evaluated and compared. Results The average follow-up time was 28.4 ± 3.7 months. There were no significant differences in the ROM of the elbow, MEPS, VAS, DASH, or complications between the two groups. The operation time and treatment cost of the patients without external fixation were significantly lower than patients with external fixation. Conclusion Combined medial-lateral approach open elbow arthrolysis without external fixation is a safe and effective way to treat elbow stiffness. Level of evidence Therapeutic Level III; Retrospective Cohort Comparison; Treatment Study.
format	article
author	Dan Xiao Maoqi Gong Chen Chen Yejun Zha Ting Li Shangwei Ji Kehan Hua Weitong Sun Xieyuan Jiang
author_facet	Dan Xiao Maoqi Gong Chen Chen Yejun Zha Ting Li Shangwei Ji Kehan Hua Weitong Sun Xieyuan Jiang
author_sort	Dan Xiao
title	Comparative study of the functional outcomes of combined medial-lateral approach arthrolysis with or without external fixation for severe elbow stiffness
title_short	Comparative study of the functional outcomes of combined medial-lateral approach arthrolysis with or without external fixation for severe elbow stiffness
title_full	Comparative study of the functional outcomes of combined medial-lateral approach arthrolysis with or without external fixation for severe elbow stiffness
title_fullStr	Comparative study of the functional outcomes of combined medial-lateral approach arthrolysis with or without external fixation for severe elbow stiffness
title_full_unstemmed	Comparative study of the functional outcomes of combined medial-lateral approach arthrolysis with or without external fixation for severe elbow stiffness
title_sort	comparative study of the functional outcomes of combined medial-lateral approach arthrolysis with or without external fixation for severe elbow stiffness
publisher	BMC
publishDate	2021
url	https://doaj.org/article/ad218d6e399c459ba736d8c4f7063f80
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Comparative study of the functional outcomes of combined medial-lateral approach arthrolysis with or without external fixation for severe elbow stiffness

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