| Clinical Effects of Surgical Arthrolysis and Radiotherapy for Ankylosed Elbow with Heterotopic Ossification |
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Goo Hyun Baek, Moon Sang Chung, Jin Ho Kim, Yong Woon Shin, Young Ho Lee, Hyuk Soo Han, Dong Han Kim |
| 이소성 골형성으로 인한 주관절 강직에서의 수술적 관절 유리술 및 방사선치료의 효과 |
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백구현, 정문상, 김진호, 신용운, 이영호, 한혁수, 김동한 |
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| Abstract |
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Post-traumatic heterotopic ossification (HO) around the elbow is a troublesome, which make a joint stiff and painful on motion, and it would recur easily. After arthrolysis and excision of HO, postoperative radiation was applied to prevent recurrence of HO. The outcome was analysed retrospectively. Nine cases of ankylosed elbow with post-traumatic HO were irradiated after arthrolysis and excision of the HO. Minimum duration of follow up was two years. Recurrence of HO was evaluated by serial X-rays, and range of motion of the elbow was assessed. None of them showed the radiologic evidence of recurrence of HO. The arc of flexion-extension increased from average 70 degrees preoperatively to 129 at latest follow up. The relative gain was average 82%. In the standard of Canadell et al, seven cases were ‘Very good’ result and other two ‘Good’. In three elbows who had both limited forearm rotation and flexion-extension, the forearm rotation were improved into ‘Excellent’ by Failla’s method. For the treatment of ankylosed elbow associated with HO, surgical arthrolysis followed by radiotherapy was considered as an effective method. |
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