Abstract
Five cases of elbow joint contracture following fracture-dislocation were mobilized. Operations were performed 3 to 17 months after injury (mean: 12.4 months). The first three cases were operated through postero-lateral incision only. Medial incision was added to the last two cases. Forty-eight hours after operation, patients were encouraged to receive early ROM exercise with the CPM unit. The average ROM of the elbow joint before the operation was -43.4 degrees (extension) and 101 degrees (flexion). ROM became -25 degrees (extension) and 123 degrees (flexion) one month after operation and -14 degrees (extension) and 135.6 degrees (flexion) at the final examination. Expecially after operation through medial and postero-lateral incisions, full extension of elbow joints was gained eventually. We found that early ROM exercise with CPM unit and throught mobilization by medial and postern-lateral incisions were effective to improving limited ROM in stiff elbows follwing fracture-deslocation.
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