Open surgical arthrolysis of post-traumatic elbow stiffness

Introduction : Arthrolysis of the elbow is a mobilizing procedure that involves removing retractions of the soft tissues of the elbow, including the capsule, ligaments, muscles, and fascia, as well as bony obstacles such as osteomas, bone bumpers, coronoid or olecranon beaks. Materials And Methods : This is a retrospective study that included 21 patients who underwent surgical arthrolysis in the Orthopedics Department at the Military Training Hospital Mohammed V of Rabat over 6 years. Our study aimed to evaluate the results of surgical arthrolysis in patients with post-traumatic elbow stiffness and to definethe factors influencing the overall results of this therapy. Results : The average age of the patients was 35 years, with a clear male predominance. The affected side was predominantly the right side. Our immediate results were very good in 42.9% of cases and good in 52.4%, according to the MERLE d'AUBIGNE relative gain. The functional sector was achieved in 52.4% of the patients. With an average follow-up of 34 months, our results improved to good in 81% of cases according to MERLE d'AUBIGNE's relative gain and 47.6% of patients retained a functional sector according to ALLIEU and ANJOU . Limb performance improved according to the MAYO score, with excellent results in 33% of cases and good results in 33% of cases. Discussion : Elbow arthrolysis is a useful technique for treating elbow stiffness and demonstrates the key role of rehabilitation in maintaining operative results. Conclusion : Open elbow arthrolysis is useful for elbow stiffness. Early and ongoing postoperative rehabilitation is vital for maintaining joint amplitudes acquired intraoperatively. It must be performed under the best possible conditions and for as long as necessary. Primary prevention remains the best way to deal with this pathology and involves the first and foremost management of any elbow trauma.