• Archives of Reconstructive Microsurgery
• /
• v.17 no.2
• /
• pp.82-86
• /
• 2008

Purpose: Soft tissue defect can occur on the posterior aspect of the elbow after trauma or fracture fixation. To cover the defect and maintain elbow functions, various flap surgeries including latissimus dorsi muscle flap, lateral arm flap and radial forearm flap can be performed. We present the clinical results of transposition lateral arm flap for coverage of the elbow defect and discuss the cause of posterior soft tissue necrosis after fracture fixation. Materials and Methods: Two patients who had posterior soft tissue defect of the elbow after open reduction of the fractures around the elbow were treated with transposition lateral arm flap. The mean size of skin defect was 20 $cm^2$. The flap was elevated with posterior radial collateral artery pedicle and transposed to the defect area. Donor defect was covered with split thickness skin graft. The elbow was immobilized for 1 week in extended position and active range of motion was permitted. Results: All two cases of transposition lateral arm flap survived without marginal necrosis. The average range of motion of the elbow was 10~115 degrees. Mayo elbow performance score was 72 and Korean DASH score was 23. Conclusion: When elbow fractures are fixed with three simultaneous plates and screws, skin necrosis can occur on the posterior aspect of the elbow around olecranon area. If the size of skin defect is relatively small, transposition lateral arm flap is very useful option for orthopaedic surgeons without microsurgical technique.

• Journal of Power System Engineering
• /
• v.18 no.5
• /
• pp.66-73
• /
• 2014

This study was considered to occur the local wall thinning at elbow which is flowing the steam and high-pressure water of high-temperature. The angle of elbow is ${\Theta}=45^{\circ}$ and $67.545^{\circ}$. The damage behaviors of inner or outer wall thinning elbow under internal pressure were calculated by FEA(finite element analysis). We compared the simulated results by FEA with experimental data. The FEA results are as follows: In the FEA results of three types of wall thinning ratio, the circumferential and longitudinal stresses show the similar values regardless of the angle of elbow, respectively. The circumferential strain was greater at elbow of small angle, but the longitudinal strain was nearly same. The FEM stress of outer wall thinning elbow was slightly higher than that of the inner wall thinning elbow, and strain was also slightly higher. In the experiments, the circumferential strain was increased with the increase in the internal pressure, and increased rapidly on about 0.2% of strain. The longitudinal strain was small. The strain at break was much smaller than 0.2%. In the relation between pressure and eroded ratio, the criteria that can be used safely under operating pressure and design pressure were obtained. The results of FEA were in relatively good agreement with those of the experiment.

• Clinics in Shoulder and Elbow
• /
• v.13 no.2
• /
• pp.299-303
• /
• 2010

Purpose: Management of the stiff elbow by arthroscopic procedure is an effective but technically demanding. Our purpose was to review the specific arthroscopic maneuver which can be useful for the stiff elbow. Materials and Methods: A stiff elbow that is refractory to conservative treatment can be treated surgically to remove soft tissue or bony blocks to motion. The olecranon or coronoid osteophyte and loose bodies have been removed arthroscopically with good results and rare complications. Results and Conclusion: For the successful arthroscopic management of elbow stiffness, it need to knowledge and skills for debride contracted tissue and preserve vital anatomic structure.

• The Journal of Korean Physical Therapy
• /
• v.7 no.1
• /
• pp.43-49
• /
• 1995

The purpose of this study were to determine the effect of testing posture and elbow position on grip strength. Two hundred college students 100 males and 100 females aged 18 to 28 years, participated in the study. A Grip-Strength Dynamometer was used to measure the grip strength in two testing posture(sitting and standin) and four elbow position$(0^{\circ},\;45^{\circ},\;90^{\circ}\;and\;135^{\circ}\;flexion)$ correlations and t-test was used to determine any significant difference in grip strength between the testing posture and the elbow position. The results were as follows : 1. The grip strength was affected by testing pasture and flexion degree of elbow. 2. The grip strength was stronger in the standing than sitting in subjects 3. The grip strength decreased according to elbow flexion increase in subjects. 4. The higher grip strength gained in the standing with the elbow 0 flexion. 5. The grip strength by elbow flexion degree showed significant difference at sitting and standing posture. The grip strength was significant differenced by testing position at same elbow flexion degree.

• PNF and Movement
• /
• v.5 no.1
• /
• pp.49-56
• /
• 2007

Objectives : We find that the reaction force on the elbow joint during elbow flexion, extension with and without an object in the hand can be calculated the equations of motion that the sum of the torque and the sum of the force acting on the elbow joint must be zero and (moment of inertia x angular acceleration) and (mass x acceleration). Methods : we have calculated the equations of motion (${\Sigma}F=0$, ${\Sigma}{\tau}=0$, ${\Sigma}F=ma$, ${\Sigma}{\tau}=Ia$) to investigate the reaction force on the elbow joint during elbow flexion, extension by means of the simplified free-body technique for coplanar forces. Results : we found that the reaction force on the elbow joint during elbow flexion, extention as constant acceleration motion is more than constant velocity, static motion. Also, we found that the relation between during flexion and during extension like this ; $J_{flexion}$ < $J_{extension}$.

• Clinics in Shoulder and Elbow
• /
• v.19 no.1
• /
• pp.43-47
• /
• 2016

Many types of osteotomy have been proposed for the treatment of cubitus varus deformity of the elbow, and various methods for fixation of the osteotomy site have also been described. However, no method has been perfect. We treated two cases of cubitus varus elbow deformity with step-cut osteotomy using a new fixation method with two crossing screws and an anatomically designed locking plate. Active assisted elbow range of motion (ROM) exercise was permitted at postoperative 3 days, after removal of the drainage. Preoperative and postoperative humerus-elbow-wrist angles and ranges of motion of the two patients were compared. At 3 months followup, each patient had recovered the preoperative elbow ROM, and achieved the complete bony union of the osteotomy site and proper correction of the cubitus varus deformity. In addition, the appropriate remodeling of the lateral bony protrusion was observed. Therefore, we introduce a new fixation method for achievement of stable fixation allowing immediate postoperative elbow motion after corrective osteotomy for cubitus varus deformity in young adults.

• Clinics in Shoulder and Elbow
• /
• v.10 no.2
• /
• pp.246-250
• /
• 2007

Total elbow arthroplasty is a relatively rare procedure compared with total knee or total hip arthroplasty. Total elbow arthroplasty for bony ankylosis is even rarer, and the results are often unsatisfactory. We report a patient who gained good mobility of the elbow after total elbow arthroplasty for the treatment of fractured arthrodesis site with which the patient had lived with for 12 years.

• Journal of rehabilitation welfare engineering & assistive technology
• /
• v.8 no.2
• /
• pp.73-78
• /
• 2014

In this paper we propose a wearable elbow rehabilitation robot applied the mirror therapy for elbow rehabilitation. To implement the mirror therapy, a data suit for measuring healthy elbow motion is developed. A powered elbow exoskeleton wearing in paralyzed arm is controlled by the measured data from the healthy elbow motion. In experiments, the elbow rehabilitation exercise by the mirror therapy is performed. From the experimental results we show the wearable exercise robot including the data suit is applicable to the mirror therapy for elbow rehabilitation.

• Clinics in Shoulder and Elbow
• /
• v.27 no.2
• /
• pp.254-262
• /
• 2024

Several surgical procedures have been proposed to address anterior glenohumeral instability, which is one of the most common complaints in the general population. The remplissage, first described in early 2000s, is a procedure performed simultaneously with the arthroscopic Bankart repair to correct large, engaging Hill-Sachs lesions (HSLs). This procedure stabilizes the joint by tenodesing the infraspinatus tendon into the HSL to fill and disengage the defect. This procedure gained popularity because it has relatively low risk and is able to improve shoulder stability while being less invasive than other bone-blocking procedures. The remplissage has become a valuable add-on technique that can substantially improve outcomes in unstable patients undergoing arthroscopic Bankart repair. Nevertheless, several studies in the literature have raised concerns regarding its efficacy in critically unstable patients and the potential range of motion limitations that can arise postoperatively. Additional comparative studies and trials should be conducted to appropriately establish the role of remplissage in treating anterior instability, especially in patients with critical bone loss.

• Clinics in Shoulder and Elbow
• /
• v.14 no.1
• /
• pp.146-152
• /
• 2011

Purpose: To describe the recent clinical results and complications of total elbow arthroplasty based on the literature review. Materials and Methods: The indications of total elbow arthroplasty include rheumatoid or inflammatory arthritis, posttraumatic arthritis, anklylosed elbow, tumor resection which cannot recover elbow function by other reconstructive procedures, and comminuted distal humerus fracture in elderly patients. Complications are aspetic loosening, infection, prosthesis fracture, periprosthetic fracture, ulnar neuropathy, ectopic ossification, triceps insufficiency, dislocation, and bushing wear. Results and Conclusion: Mean 10 year survival rate following total elbow arthroplasty has been reported 85% on the basis of revision. The prognosis in patients with an inflammatory arthritis is reported to be best, and loosening rate in patients with a posttraumatic arthritis tends to be high. Complication rate is known to be higher than that of other joint arthroplasty. In particular, deep infection occurs in 3~5% of the patients. Total elbow arthroplasty provide satisfactory results when it is performed properly in selected patients who have an elbow joint with irreversible dysfunction and low level activities.