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• W2131004472 abstract "The Journal of Bone and Joint Surgery. British volumeVol. 82-B, No. 1 Upper LimbFree AccessThe effectiveness of turnbuckle splinting for elbow contracturesJ. J. Gelinas, K. J. Faber, S. D. Patterson, G. J. W. KingJ. J. GelinasOrthopaedic ResidentSearch for more papers by this author, K. J. FaberAssistant ProfessorSearch for more papers by this author, S. D. PattersonAssistant ProfessorSearch for more papers by this author, G. J. W. KingAssociate ProfessorSearch for more papers by this authorPublished Online:1 Jan 2000https://doi.org/10.1302/0301-620X.82B1.0820074AboutSectionsPDF/EPUB ToolsAdd to FavouritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InRedditEmail AbstractWe have treated 22 patients with an elbow contracture using a static progressive turnbuckle splint for a mean of 4.5 ± 1.8 months. All had failed to improve with supervised physiotherapy and splinting. The mean range of flexion before splintage was from 32 ± 10° to 108 ± 19° and afterwards from 26 ± 10° (p = 0.02) to 127 ± 12° (p = 0.0001). A total of 11 patients gained a ‘functional arc of movement,’ defined as at least 30° to 130°. In eight patients movement improved with turnbuckle splinting, but the functional arc was not achieved. Six of these were satisfied and did not wish to proceed with surgical treatment and two had release of the elbow contracture. In three patients movement did not improve with the use of the turnbuckle splint and one subsequently had surgical treatment.Our findings have shown that turnbuckle splinting is a safe and effective treatment which should be considered in patients whose established elbow contractures have failed to respond to conventional physiotherapy.FiguresReferencesRelatedDetailsCited byChoice of treatments of the coronal shear fractures of the humerus. A national survey of Italian AO membersInjury, Vol. 95 BPostoperative Frühmaßnahmen und Rehabilitation nach operativer Arthrolyse bei Ellenbogensteife20 June 2022 | Obere Extremität, Vol. 17, No. 3Rehabilitation Interventions in the Multidisciplinary Management of Patients With Sclerotic Graft-Versus-Host Disease of the Skin and FasciaArchives of Physical Medicine and Rehabilitation, Vol. 102, No. 4Risk Factors for Elbow Joint Contracture After Surgical Repair of Traumatic Elbow FractureJournal of the American Academy of Orthopaedic Surgeons, Vol. 29, No. 4Mobilizing orthoses in the management of post-traumatic elbow contractures: A survey of Australian hand therapy practiceJournal of Hand Therapy, Vol. 34, No. 1Rehabilitation of Elbow InstabilityHand Clinics, Vol. 36, No. 4Randomized trial for the treatment of post-traumatic elbow stiffness: surgical release vs. rehabilitationJournal of Shoulder and Elbow Surgery, Vol. 29, No. 8Elbow Brace and Rehabilitation15 October 2019Treating Flexion Contracture (Loss of Extension) in Throwing AthletesSplints and Bracing of the ElbowExtrinsic ContractureManagement of distal humeral coronal shear fracturesWorld Journal of Clinical Cases, Vol. 3, No. 5Burn Management in Orthopaedic TraumaJBJS Reviews, Vol. 2, No. 10Fractures of the Radial Head and NeckJournal of Bone and Joint Surgery, Vol. 95, No. 5Disorders of the inert structuresPosttraumatic Elbow StiffnessJournal of Bone and Joint Surgery, Vol. 94, No. 15A Prospective Randomized Controlled Trial of Dynamic Versus Static Progressive Elbow Splinting for Posttraumatic Elbow StiffnessJournal of Bone and Joint Surgery, Vol. 94, No. 8Treatment by Open Surgical TechniquesArthroscopic Debridement for Elbow StiffnessRehabilitation Considerations in the Management of Terrible Triad Injury to the ElbowTechniques in Hand & Upper Extremity Surgery, Vol. 15, No. 4Indikationen und Operationstechniken für kombinierte mediale und laterale Eingriffe bei schwerer extrinsischer Ellenbogensteife8 April 2011 | Der Orthopäde, Vol. 40, No. 4Management of severe extra-articular contracture of the elbow by open arthrolysis and a monolateral hinged external fixatorG. S. Kulkarni, V. S. Kulkarni, A. K. Shyam, R. M. Kulkarni, M. G. Kulkarni, P. Nayak1 January 2010 | The Journal of Bone and Joint Surgery. British volume, Vol. 92-B, No. 1Splints and Bracing at the ElbowExtrinsic Contracture: Lateral and Medial Column ProceduresImproving Elbow and Wrist Range of Motion Using a Dynamic and Static Combination OrthosisJPO Journal of Prosthetics and Orthotics, Vol. 20, No. 2A computer-controlled contracture correction device with low-load and continuous torqueProsthetics & Orthotics International, Vol. 31, No. 2Elbow Orthosis to Re-establish Elbow Extension MotionJPO Journal of Prosthetics and Orthotics, Vol. 18, No. 4Dynamic orthoses in the management of joint contractureS. E. Farmer, P. J. Woollam, J. H. Patrick, A. P. Roberts, W. Bromwich1 March 2005 | The Journal of Bone and Joint Surgery. British volume, Vol. 87-B, No. 3Elbow orthosesProsthetics & Orthotics International, Vol. 28, No. 3Arthroscopic Management of Elbow StiffnessMuscle stretching for treatment and prevention of contracture in people with spinal cord injury16 July 2002 | Spinal Cord, Vol. 40, No. 8Compensatory Midfoot Dorsiflexion in the Individual with Heelcord Tightness: Implications for Orthotic Device DesignsJPO Journal of Prosthetics and Orthotics, Vol. 14, No. 2Outcome evaluation in patients with elbow pathology: Issues in instrument development and evaluationJournal of Hand Therapy, Vol. 14, No. 2 Vol. 82-B, No. 1 Metrics History Published online 1 January 2000 Published in print 1 January 2000 InformationCopyright © 2000, The British Editorial Society of Bone and Joint Surgery: All rights reservedPDF download" @default.
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