Does Excision of Heterotopic Ossification of the Elbow Result in Satisfactory Patient-Rated Outcomes?
- Author:
Sandeep KN
;
Suresh G
;
Gopisankar B
;
Abhishek N
;
Sujiv A
- Publication Type:Journal Article
- Keywords:
heterotopic ossification;
elbow joint;
ankylosis;
ulnar nerve;
pronation;
supination
- From:Malaysian Orthopaedic Journal
2017;11(1):35-40
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Treatment of heterotopic ossification (HO) of
the elbow is challenging and fraught with complications.
Patients who sustain direct trauma to the elbow joint, the
central nervous system, and thermal burns are at increased
risk for development of HO. There is a paucity of studies and
reports on patient’s self-evaluation after the excision of the
heterotopic ossification.
Materials and Methods: This retrospective study assessed
outcomes after excision of heterotopic ossification around
the elbow in a cohort of ten patients operated from 2012 to
2015. The outcome assessment was done by the Mayo Elbow
Performance index (MEPI) and the American Shoulder and
Elbow Surgeons-Elbow score (ASES-E scores).
Results: The mean follow-up was 18.11 months after the
operation. The Mayo Elbow Performance Score was
excellent in two elbows, good in six and fair in two. The
mean gain in flexion-extension arc after excision of HO was
80 degrees. All of the patients had residual flexion deformity
postoperatively. Eight of the nine patients were able to do
activities requiring flexion at final follow-up.
Conclusion: Excision of HO around the elbow is associated
with satisfactory patient-rated outcomes in spite of failure to
regain full range of motion.
- Full text:P020170413507547593447.pdf
