The Posttraumatic Elbow Stiffness Treatment (NCT03015415) | Clinical Trial Compass
CompletedNot Applicable
The Posttraumatic Elbow Stiffness Treatment
Brazil30 participantsStarted 2013-03-03
Plain-language summary
This study compares patients with post traumatic elbow stiffness and evaluate the range of motion improvement with two types of treatment: surgical release versus non-surgical rehabilitation protocol with orthoses.
Who can participate
Age range18 Years
SexALL
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Previous history of trauma that evolved with joint stiffness at the elbow
* Range of movement of the elbow less than 100º or extension deficit greater than 30º or flexion less than 130º
* More than six months from the initial trauma;
* Skeletal maturity;
* Have had previous physical therapy without the use of orthotics or continuous passive motion for at least 4 months;
* Absence of the following findings:
* Joint block, with range of motion equal to 0º;
* Neurological limb injury;
* Mental illness or inability to understand preoperative questionnaires;
* Active infection;
* Anterior infection at the elbow;
* Systemic autoimmune diseases. (Eg, systemic lupus erythematosus, rheumatoid arthritis, joint psoriasis, etc.).
* Absence of the following radiographic changes:
* Intra-articular synthesis material;
* Presence of vicious consolidation of the distal articular surface of the humerus and proximal ulna;
* Heterotopic ossification;
* Pseudoarthrosis of previous elbow fracture;
* Elbow incongruity;
* Grade III and IV arthrosis
Exclusion Criteria:
* Non-collaboration with rehabilitation program and postoperative follow-up;
* Need to use external fixator after surgical release due to joint instability;
* Death from non-intervention causes or loss of follow-up before the first functional evaluation (3 months).