Background: Loss of motion is a well-known complication after elbow trauma and in severe cases, arthrolysis of elbow is the procedure of choice. The posterior approach might have some advantages especially in post-traumatic patients who have undergone the same surgical approach in the past.ududObjectives: The aim of this study was to evaluate the short-term outcomes of elbow arthrolysis through posterior approach. Moreover, we assessed the effect of operation on the patients’ quality of life.ududPatients and Methods: During a retrospective-cohort study, the medical records of 14 patients (12 men, two women) whose range of movement had been limited post-traumatically and had undergone elbow arthrolysis with posterior approach were reviewed. Before intervention, the patients had a flexion less than 100 degrees or an extension lag of 30 degrees or more. For evaluation of the final outcomes, they were invited to participate in our study and the final range of motion, visual analogue score (VAS), disability of arm, shoulder and hand (DASH), Mayo elbow score (MES) and short form health survey (SF-36) scores were measured in the patients.ududResults: Mean age of the participants was 28.7 years. The interval from initial injury and arthrolysis was 16 months and the patients were followed for 14 months. The mean range of motion in patients before surgery was 35.8 degrees, which was increased to a mean of 108.9 after the surgery, indicating a 73.1 degrees improvement. The means of VAS, DASH, Mayo elbow and SF-36 scores in the patients were 1.6, 34, 68 and 43, respectively. A significant inverse correlation was found between the preoperative range of motion and final range of motion.ududConclusions: According to our results, elbow arthrolysis through posterior approach could be an effective technique with low complications. Since the final range of motion improved significantly, it might be a valuable method in promoting the patients’ quality of life.
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机译：背景：运动丧失是肘部创伤后的一种众所周知的并发症，在严重的情况下，肘关节的关节溶解是首选的治疗方法。后路手术可能具有一些优势，尤其是在过去接受过相同手术方法的创伤后患者中。 ud ud目的：本研究的目的是通过后路手术评估肘关节溶栓的近期疗效。此外，我们评估了手术对患者生活质量的影响。 ud ud患者和方法：在一项回顾性队列研究中，运动范围受到限制的14例患者（12名男性，两名女性）的病历创伤后和经过后路肘关节溶解术的患者进行了回顾。干预前，患者屈曲小于100度或伸展滞后为30度或更大。为了评估最终结果，邀请他们参加我们的研究以及最终运动范围，视觉模拟评分（VAS），手臂，肩膀和手部残疾（DASH），Mayo肘关节评分（MES）和简短健康状况结果：患者的平均年龄为28.7岁。从最初受伤到关节溶解的间隔为16个月，对患者进行了14个月的随访。手术前患者的平均运动范围为35.8度，手术后平均运动范围为108.9，表明改善了73.1度。患者的VAS，DASH，Mayo肘和SF-36评分分别为1.6、34、68和43。结论：根据我们的研究结果，通过后路肘关节置换术可能是一种并发症少的有效技术。由于最终的运动范围得到了显着改善，因此它可能是提高患者生活质量的一种有价值的方法。
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