Intra articular olecranon osteotomy and adhesiolysis for treatment of post traumatic elbow stiffness

Vol 3 | Issue 1 | Jan-Jun 2016 | page:1-4  | Harshad L. Adhav, Rajendra Y. Nehete, Anita R. Nehete

Authors: Harshad L. Adhav [1], Rajendra Y. Nehete [2], Anita R. Nehete [3].

[1] Department of Orthopaedics, Vedant hospital, Nashik, Maharashtra, India.
[2] Department of Plastic surgery, Vedant hospital, Nashik, Maharashtra, India
[3] Department of Anaesthesia, Vedant hospital, Nashik, Maharashtra, India.


Address of Correspondenc
Dr. Harshad L. Adhav,
Department of Orthopaedics, Vedant hospital,
Nashik, Maharashtra, India


Loss of motion is common in elbow trauma. Restoration of joint motion in post traumatic stiff elbow can be a difficult, time consuming and costly challenge.
We report a case of post traumatic elbow stiffness treated with intra articular olecranon osteotomy and adhesiolysis. A 30 years female with right dominant upper extremity, presented 13 months after operated well aligned right intra articular distal humerus fracture with right elbow stiffness. She had a fixed flexion deformity of 20 degrees with flexion arc of 20 to 30 degrees and completely free supination and pronation. She was unable to perform the activities of daily living with affected right upper extremity. Intra articular chevron olecranon osteotomy and adhesiolysis was done for the post traumatic elbow stiffness. Immediate post-operative active and active assisted motion exercises of elbow joint were started. Indwelling infra clavicular catheter with continuous Ropivacaine infusion was kept for analgesia. 6 months post-operative she achieved 10 to 120 degree elbow flexion arc with completely free supination and pronation. She is able to perform the daily living activities with right upper extremity. Many different methods of treating post traumatic stiff elbow have been described, intra articular olecranon osteotomy helps in addressing intrinsic and extrinsic pathology with better results.
Keywords: Adhesiolysis, elbow stiffness, intra articular, olecranon osteotomy, post traumatic.


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How to Cite this Article: Intra articular olecranon osteotomy and adhesiolysis for treatment of post traumatic elbow stiffness. Adhav H L, Nehete R Y, Nehete A R. Journal of Orthopaedic and Rehabilitation 2016 Jan-Apr; 3(1):1-4

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