Arthroscopic treatment of elbow stiffness using an additional auxiliary soft-point portal
10.3760/cma.j.issn.1671-7600.2018.09.013
- VernacularTitle:关节镜下增加软点旁辅助入路治疗肘关节僵硬
- Author:
Jun TAO
1
;
Pu CHEN
;
Lifeng XIE
;
Li LIU
;
Bin ZHANG
Author Information
1. 330000,南昌大学第二附属医院骨科
- Keywords:
Elbow joint;
Arthroscopy;
Surgical procedures,minimally invasive;
Elbow stiffness
- From:
Chinese Journal of Orthopaedic Trauma
2018;20(9):806-809
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility of adding an auxiliary soft-point portal for the arthroscopic treatment of stiff elbow.Methods From January 2016 to August 2017,20 patients with stiff elbow were treated at Department of Orthopaedic Surgery,The Second Affiliated Hospital to Nanchang University.They were 13 males and 7 females,with a mean age of 30.8 years (from 18 to 46 years).Their elbow stiffness time averaged 8.4 months (from 6 to 14 months).Their stiff elbow was released by elbow arthroscopy after their surgical contraindications were controlled.In addition to conventional portals,an auxiliary soft-point portal was used.Analgesia was conducted postoperatively and staged rehabilitation encouraged immediately after operation.The therapeutic effects were evaluated using Hospital for Special Surgery (HSS) elbow score and the Mayo scoring system at final follow-ups.Results The 20 patients were followed up for an average time of 8.9 months (from 4 to 15 months).Their preoperative maximum elbow flexion (62.3°±21.4°),maximum elbow extension (30.4° ± 13.6°) and total range of elbow motion (32.5° ± 22.4°) were significantly improved to 112.6° ± 23.4°,15.3° ± 10.4° and 98.4° ± 15.3°,respectively,at final follow-ups (P ＜0.05).According to their HSS elbow scores,13 cases were excellent and 7 good,yielding an excellent to good rate of 100％;their preoperative Mayo scores (64.1 ± 12.8) were significantly improved to 85.6 ± 7.4 points at final follow-ups (P ＜ 0.05).Conclusion Addition of an auxiliary soft-point portal in the arthroscopic treatment of elbow stiffness can simplify operative maneuver and shorten operation time,leading to fine curative efficacy.
