This Article
Right arrow Full Text Free
Right arrow Full Text (PDF) Free
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by MANSAT, P.
Right arrow Articles by MORREY, B. F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by MANSAT, P.
Right arrow Articles by MORREY, B. F.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
The Journal of Bone and Joint Surgery 80:1603-15 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

The Column Procedure: A Limited Lateral Approach for Extrinsic Contracture of the Elbow*

PIERRE MANSAT, M.D.{dagger} and B. F. MORREY, M.D.{ddagger}, ROCHESTER, MINNESOTA

Investigation performed at the Mayo Clinic, Rochester

Thirty-eight elbows (thirty-seven patients) with an extrinsic contracture were treated operatively with a limited lateral approach to the anterior and posterior aspects of the capsule. Because the procedure elevates muscles from the anterior and posterior aspects of the lateral supracondylar osseous ridge, we called it the column procedure. The mean preoperative arc of flexion was 49 degrees (from 52 to 101 degrees). At a mean of forty-three months (range, twenty-four to seventy-four months) postoperatively, the mean arc of flexion was 94 degrees (from 27 to 121 degrees). The mean total gain in the arc of flexion-extension was 45 degrees; thirty-four elbows (89 percent) had an improved range of motion at the latest follow-up examination. Overall, thirty-one elbows (82 percent) had a satisfactory result. Greater improvement was obtained in elbows that had had severe stiffness (a total arc of 30 degrees or less) or that had had a combined flexion and extension contracture. A complication occurred in four elbows (11 percent). A hematoma developed in two elbows and impaired the final outcome in one of them. Two elbows had transient ulnar paresthesia, which resolved spontaneously. The arc of flexion obtained at the time of the operation was lost in ten elbows (26 percent) after an initial period of improvement; at the latest follow-up evaluation, four of these elbows had a mean decrease in the arc of flexion of 24 degrees compared with preoperatively. The column procedure is associated with a low rate of complications and is safe and effective for the treatment of a limitation in flexion or extension resulting from an extrinsic contracture of the elbow.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 J Am Acad Orthop SurgHome page
E. V. Cheung and S. P. Steinmann
Surgical Approaches to the Elbow
J. Am. Acad. Ortho. Surg., May 1, 2009; 17(5): 325 - 333.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
N. Iwasaki, H. Kato, J. Ishikawa, S. Saitoh, and A. Minami
Autologous Osteochondral Mosaicplasty for Capitellar Osteochondritis Dissecans in Teenaged Patients
Am. J. Sports Med., August 1, 2006; 34(8): 1233 - 1239.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
T. Gausepohl, K. Mader, and D. Pennig
Mechanical Distraction for the Treatment of Posttraumatic Stiffness of the Elbow in Children and Adolescents
J. Bone Joint Surg. Am., May 1, 2006; 88(5): 1011 - 1021.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
G. D. Gramstad and L. M. Galatz
Management of Elbow Osteoarthritis
J. Bone Joint Surg. Am., February 1, 2006; 88(2): 421 - 430.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
D. Ring, R. N. Hotchkiss, D. Guss, and J. B. Jupiter
Hinged Elbow External Fixation for Severe Elbow Contracture
J. Bone Joint Surg. Am., June 1, 2005; 87(6): 1293 - 1296.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
J. M. Aldridge III, T. A. Atkins, E. E. Gunneson, and J. R. Urbaniak
Anterior Release of the Elbow for Extension Loss
J. Bone Joint Surg. Am., September 1, 2004; 86(9): 1955 - 1960.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
D. Ring and J. B. Jupiter
Operative Release of Ankylosis of the Elbow Due to Heterotopic Ossification. Surgical Technique
J. Bone Joint Surg. Am., March 1, 2004; 86(90001): 2 - 10.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
D. Ring, J. B. Jupiter, and L. Gulotta
Articular Fractures of the Distal Part of the Humerus
J. Bone Joint Surg. Am., January 29, 2003; 85(2): 232 - 238.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
S. A. Antuna, B. F. Morrey, R. A. Adams, and S. W. O'Driscoll
Ulnohumeral Arthroplasty for Primary Degenerative Arthritis of the Elbow: Long-Term Outcome and Complications
J. Bone Joint Surg. Am., December 9, 2002; 84(12): 2168 - 2173.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
D. Ring, J. B. Jupiter, and J. Zilberfarb
Posterior Dislocation of the Elbow with Fractures of the Radial Head and Coronoid
J. Bone Joint Surg. Am., April 1, 2002; 84(4): 547 - 551.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
A. A. Stans, N. G.J. Maritz, S. W. O'Driscoll, and B. F. Morrey
Operative Treatment of Elbow Contracture in Patients Twenty-one Years of Age or Younger
J. Bone Joint Surg. Am., March 1, 2002; 84(3): 382 - 387.
[Abstract] [Full Text]

Home page
 JBJSHome page
P. Mansat and B. F. Morrey
Semiconstrained Total Elbow Arthroplasty for Ankylosed and Stiff Elbows
J. Bone Joint Surg. Am., September 1, 2000; 82(9): 1260 - 1260.
[Abstract] [Full Text]