Back to Journals » Infection and Drug Resistance » Volume 11

Surgical release for tubercular elbow stiffness

Authors Qian Y, Han Q, Wang W, Ouyang Y, Yuan W, Fan C

Received 1 July 2017

Accepted for publication 2 November 2017

Published 22 December 2017 Volume 2018:11 Pages 9—16

DOI https://doi.org/10.2147/IDR.S145323

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Akshita Wason

Peer reviewer comments 2

Editor who approved publication: Dr Sahil Khanna

Yun Qian,1,2,* Qixin Han,3,* Wei Wang,1,2,* Yuanming Ouyang,1,2 Weien Yuan,4 Cunyi Fan1

1Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, 2Department of Orthopedics, Shanghai University of Medicine and Health, Shanghai Sixth People’s Hospital East Campus, 3Renji Hospital, School of Medicine, 4School of Pharmacy, Shanghai Jiao Tong University, Shanghai, China

*These authors contributed equally to this work

Background: For decades, tuberculosis (TB) has posed a great threat to people worldwide. Bone and joint TB is one of the most common types of extrapulmonary TB, with elbow TB comprising a small proportion of these cases. The treatment for elbow stiffness associated with TB has been rarely reported.
Patients and methods: We retrospectively analyzed six patients (four females and two males) with tubercular elbow stiffness during a 7-year period. All of them received open arthrolysis and hinged external fixation to restore functional extension, flexion, supination and pronation. Mayo Elbow Performance Score (MEPS) and range of motion (ROM) were evaluated preoperatively and at final follow-up.
Results: At final follow-up after surgery, we evaluated the average active ROM, which was 111.7° (90°–135°). The average extension was 11.7° (0°–30°), while the average flexion was 123.3° (115°–135°). At the same time, the average supination was increased to 70° (40°–90°) and the average pronation was increased to 68.3° (45°–80°). The MEPS was elevated to 92.5 (85–100). Three patients displayed complications and were treated and cured with dressing changes and antibiotics.
Conclusion: Open arthrolysis and hinged external fixation are useful for the treatment of non-traumatic elbow stiffness with TB.

Keywords: open arthrolysis, hinged external fixation, non-traumatic, heterotopic ossification

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]

 

Other articles by this author:

Estrogen-mediated hemangioma-derived stem cells through estrogen receptor-α for infantile hemangioma

Zhang L, Wu H, Yuan W, Zheng J

Cancer Management and Research 2017, 9:279-286

Published Date: 7 July 2017

Biodegradable and biocompatible cationic polymer delivering microRNA-221/222 promotes nerve regeneration after sciatic nerve crush

Song J, Li X, Li Y, Che J, Li X, Zhao X, Chen Y, Zheng X, Yuan W

International Journal of Nanomedicine 2017, 12:4195-4208

Published Date: 2 June 2017

Propranolol therapy for infantile hemangioma: our experience

Zhang L, Wu HW, Yuan W, Zheng J

Drug Design, Development and Therapy 2017, 11:1401-1408

Published Date: 8 May 2017

Advances with microRNAs in Parkinson’s disease research

Ma L, Wei L, Wu F, Hu Z, Liu Z, Yuan W

Drug Design, Development and Therapy 2013, 7:1103-1113

Published Date: 1 October 2013

Long-acting preparations of exenatide

Cai Y, Wei L, Ma L, Huang X, Tao A, Liu Z, Yuan W

Drug Design, Development and Therapy 2013, 7:963-970

Published Date: 5 September 2013

pH-sensitive degradable nanoparticles for highly efficient intracellular delivery of exogenous protein

Xu D, Wu F, Chen Y, Wei L, Yuan W

International Journal of Nanomedicine 2013, 8:3405-3414

Published Date: 2 September 2013

Hemostatic absorbable gelatin sponge loaded with 5-fluorouracil for treatment of tumors

Sun W, Chen Y, Yuan W

International Journal of Nanomedicine 2013, 8:1499-1506

Published Date: 18 April 2013

Advances with RNA interference in Alzheimer’s disease research

Chen S, Ge X, Chen Y, Lv N, Liu Z, Yuan W

Drug Design, Development and Therapy 2013, 7:117-125

Published Date: 22 February 2013

Sustained-release G-CSF microspheres using a novel solid-in-oil-in-oil-in-water emulsion method

Liu G, Hong X, Jiang M, Yuan W

International Journal of Nanomedicine 2012, 7:4559-4569

Published Date: 17 August 2012

Controlled-release levodopa methyl ester/benserazide-loaded nanoparticles ameliorate levodopa-induced dyskinesia in rats

Yang X, Zheng R, Cai Y, Liao M, Yuan W, Liu Z

International Journal of Nanomedicine 2012, 7:2077-2086

Published Date: 19 April 2012

A scalable fabrication process of polymer microneedles

Yang S, Feng Y, Zhang L, Chen N, Yuan W, Jin T

International Journal of Nanomedicine 2012, 7:1415-1422

Published Date: 12 March 2012