New approaches to pediatric treatment of post-traumatic elbow contractures

Abstract. Introduction Post-traumatic elbow contracture is a severe disabling condition of childhood that interferes with both physical and psychic aspects for the child. A high rate of poor results encourages surgeons seek for better surgical treatments. Current diagnostic modalities were practica...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Gairat D. Bayimbetov, Iskandar Yu. Khodzhanov
Formato:	article
Lenguaje:	EN RU
Publicado:	Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics 2021
Materias:	elbow joint contracture surgical treatment childhood Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/b04f1294a6e6485dab2c65166b32b26d
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:b04f1294a6e6485dab2c65166b32b26d
record_format	dspace
spelling	oai:doaj.org-article:b04f1294a6e6485dab2c65166b32b26d2021-11-15T10:06:25ZNew approaches to pediatric treatment of post-traumatic elbow contractures10.18019/1028-4427-2021-27-5-578-5831028-44272542-131Xhttps://doaj.org/article/b04f1294a6e6485dab2c65166b32b26d2021-10-01T00:00:00Zhttps://doaj.org/toc/1028-4427https://doaj.org/toc/2542-131XAbstract. Introduction Post-traumatic elbow contracture is a severe disabling condition of childhood that interferes with both physical and psychic aspects for the child. A high rate of poor results encourages surgeons seek for better surgical treatments. Current diagnostic modalities were practical to get the clinical picture of the contracture mechanogenesis and determine the treatment strategy. The goal of the study was to review long-term results of new surgical techniques developed for post-traumatic elbow contractures in children. Material and methods The inpatient records of 102 pediatric patients with post-traumatic elbow contractures operated on with the technique offered were reviewed. All patients underwent conventional radiological, ultrasound and MSCT examinations. Results Based on the pathobiomechanics of the injured elbow a mobilization technique was developed to ensure complete bone realignment, relieve pain and allow early exercises for the joint. Postoperative lavage of the joint cavity, intra-articular administration of corticosteroids and polyvalent enzymes in the early postoperative period facilitated improved long-term outcomes of elbow contractures. All patients reported good results. Discussion Tenotomies of the lateral ligaments can be added to arthrotomy and reconstruction of articular surfaces for temporary instability of the joint to restore movement in the elbow joint in severe cases. Post-traumatic elbow contractures are accompanied by impaired biomechanics. MSCT and 3D reconstruction of bone structures is the gold standard in the diagnosis of post-traumatic elbow contractures. Conclusion Bone impingements are to be addressed and an extended mobilization of the capsular ligamentous complex be provided for complete movement recovery through partial elbow instability to be temporarily ensured. Prolonged lavage of the elbow joint can be used to prevent adhesions and allow early elbow exercises and provide improved outcomes.Gairat D. BayimbetovIskandar Yu. KhodzhanovRussian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedicsarticleelbow jointcontracturesurgical treatmentchildhoodOrthopedic surgeryRD701-811ENRUГений oртопедии, Vol 27, Iss 5, Pp 578-583 (2021)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	elbow joint contracture surgical treatment childhood Orthopedic surgery RD701-811
spellingShingle	elbow joint contracture surgical treatment childhood Orthopedic surgery RD701-811 Gairat D. Bayimbetov Iskandar Yu. Khodzhanov New approaches to pediatric treatment of post-traumatic elbow contractures
description	Abstract. Introduction Post-traumatic elbow contracture is a severe disabling condition of childhood that interferes with both physical and psychic aspects for the child. A high rate of poor results encourages surgeons seek for better surgical treatments. Current diagnostic modalities were practical to get the clinical picture of the contracture mechanogenesis and determine the treatment strategy. The goal of the study was to review long-term results of new surgical techniques developed for post-traumatic elbow contractures in children. Material and methods The inpatient records of 102 pediatric patients with post-traumatic elbow contractures operated on with the technique offered were reviewed. All patients underwent conventional radiological, ultrasound and MSCT examinations. Results Based on the pathobiomechanics of the injured elbow a mobilization technique was developed to ensure complete bone realignment, relieve pain and allow early exercises for the joint. Postoperative lavage of the joint cavity, intra-articular administration of corticosteroids and polyvalent enzymes in the early postoperative period facilitated improved long-term outcomes of elbow contractures. All patients reported good results. Discussion Tenotomies of the lateral ligaments can be added to arthrotomy and reconstruction of articular surfaces for temporary instability of the joint to restore movement in the elbow joint in severe cases. Post-traumatic elbow contractures are accompanied by impaired biomechanics. MSCT and 3D reconstruction of bone structures is the gold standard in the diagnosis of post-traumatic elbow contractures. Conclusion Bone impingements are to be addressed and an extended mobilization of the capsular ligamentous complex be provided for complete movement recovery through partial elbow instability to be temporarily ensured. Prolonged lavage of the elbow joint can be used to prevent adhesions and allow early elbow exercises and provide improved outcomes.
format	article
author	Gairat D. Bayimbetov Iskandar Yu. Khodzhanov
author_facet	Gairat D. Bayimbetov Iskandar Yu. Khodzhanov
author_sort	Gairat D. Bayimbetov
title	New approaches to pediatric treatment of post-traumatic elbow contractures
title_short	New approaches to pediatric treatment of post-traumatic elbow contractures
title_full	New approaches to pediatric treatment of post-traumatic elbow contractures
title_fullStr	New approaches to pediatric treatment of post-traumatic elbow contractures
title_full_unstemmed	New approaches to pediatric treatment of post-traumatic elbow contractures
title_sort	new approaches to pediatric treatment of post-traumatic elbow contractures
publisher	Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
publishDate	2021
url	https://doaj.org/article/b04f1294a6e6485dab2c65166b32b26d
work_keys_str_mv	AT gairatdbayimbetov newapproachestopediatrictreatmentofposttraumaticelbowcontractures AT iskandaryukhodzhanov newapproachestopediatrictreatmentofposttraumaticelbowcontractures
_version_	1718428454283640832

New approaches to pediatric treatment of post-traumatic elbow contractures

Ejemplares similares