Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Arthroscopic Anterior Capsular Release of a Post-traumatic Flexion Contracture in the Elbow

외상성 주관절 굴곡 구축에 시행한 관절경하 전방 피막 유리술

  • Kim, Seung-Key (Department of Orthopedic Surgery, College of Medicine, Catholic University, Uijongbu St. Mary's Hospital, Uijongbu) ;
  • Park, Jong-Beom (Department of Orthopedic Surgery, College of Medicine, Catholic University, Uijongbu St. Mary's Hospital, Uijongbu) ;
  • Koh, Young-Seok (Department of Orthopedic Surgery, College of Medicine, Catholic University, Uijongbu St. Mary's Hospital, Uijongbu) ;
  • Chang-Han,
  • 김승기 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실) ;
  • 박종범 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실) ;
  • 고영석 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실) ;
  • 장한 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실)
  • Published : 1998.03.01
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Abstract

We treated 5 elbows with post-traumatic flexion contractures (mean contracture: 51 degrees) by arthroscopic anterior capsular release and post-operative alternative flexion and extension splint. Each elbow had been resistant to at least six months of conservative therapy. An incongruent ulno-humeral articulation was considered to be a contraindication to this procedure. All patients complained of the residual deformity and some functional deficit. All patients, after failure of non-operative therapy, desired a operative treatment. At follow-up(mean 21.8 months), there was a mean post-operative contracture of 19 degrees, which is within a functional range of motion. So we conclude that arthroscopic capsular release in selected patients is reasonable alternative to open release.

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