Heirweg S, De Smet L
Department of Orthopedic Surgery, U.Z. Pellenberg, Weligerveld 1, B-3212 Lubbeek, Pellenberg, Belgium.
Acta Orthop Belg. 2003;69(1):18-22.
The purpose of the present study was to review the long-term results of surgical arthrolysis of the elbow. We reviewed 16 patients, with a mean follow-up of 47 months. Elbow motion before, during and after operation was measured. DASH score, pain and patient satisfaction were assessed. We found a significant (p < 0.05) improvement in elbow motion postoperatively. The total arc of motion improved from 47 to 87 degrees. However part of the initially obtained arc of elbow motion was lost with longer follow-up when compared to the immediate postoperative result. Results were significantly (p < 0.05) better when performing the arthrolysis no later than one year after onset of symptoms. Treating an extrinsic contracture resulted in greater improvement of elbow motion when compared to treating an intrinsic contracture. The amount of improvement in elbow motion and the overall elbow motion achieved postoperatively correlate significantly (p < 0.01 and p < 0.05 respectively) with better results of the DASH score and the patient satisfaction score.
本研究的目的是回顾肘关节手术松解的长期结果。我们回顾了16例患者，平均随访47个月。测量了手术前、手术期间和手术后的肘关节活动度。评估了上肢功能障碍评分（DASH）、疼痛和患者满意度。我们发现术后肘关节活动度有显著改善（p<0.05）。总活动弧从47度提高到87度。然而，与术后即刻结果相比，随着随访时间延长，最初获得的部分肘关节活动弧有所丢失。在症状出现后不迟于一年进行松解术时，结果显著更好（p<0.05）。与治疗内在性挛缩相比，治疗外在性挛缩导致肘关节活动度有更大改善。术后肘关节活动度的改善量和总体肘关节活动度分别与更好的上肢功能障碍评分结果和患者满意度评分显著相关（分别为p<0.01和p<0.05）。
