Our center is the referral centre for any elbow problems in children and adult because of our original research work in this subject. Elbow Stiffness is a common problem encountered in Orthopaedic practice. It is a morbid condition which restricts patient's daily activities. The reasons for stiff elbow are injury, massage, and fractures around elbow, infection, burns and rheumatoid arthritis. Mismanagement in the form of native treatment with oil massage, tight bandages jeopardizing the circulation to the arm and splinting by quacks is a common practice in our society.
Elbow Stiffness is a common problem encountered in Orthopaedic practice. It is a morbid condition which restricts patient's daily activities. The reasons for stiff elbow are injury, massage, and fractures around elbow, infection, burns and rheumatoid arthritis. Mismanagement in the form of native treatment with oil massage, tight bandages jeopardizing the circulation to the arm and splinting by quacks is a common practice in our society.
Elbow fractures are very common in children. This needs proper treatment with good reduction, fixation and early mobilization. Alternative methods and delayed treatment leads on to severe stiffness of the elbow with excessive new bone formation (heterotopic ossification) and a dysfunctional useless upper limb. Stiff elbow of right arm with elbow straight leaves with permanent disability if inability to do day to day activities like hand to mouth for eating, dressing and for face washing as elbow cannot bend. In left arm with stiff elbow, hand to buttock for toiletry hygiene is impossible.
This disabling problem was difficult to treat as any attempted surgical correction was bound to fail. Again due to proximity of major vessels & nerves in the elbow it was considered dangerous to explore a stiff elbow which had guarded prognosis. Now through various research and superior surgical techniques better ideas have evolved in treating this difficult problem.
A NEW SURGICAL RELEASE PROCEDURE involving global soft time release as an envelope all around the bony contour of elbow by two seperate approaches with contouring of bony abnormality was described pertaining to each fracture/dislocation of elbow and the casual factor. An accelerated active rehabilitation programme in the immediate postoperative period from day one has yielded fruitful result with good functional movement. Stiff elbow post-surgery or side swipe injuries or septic arthritis resulting in bony ankylosis of elbow are also treated by new concept of " Bevelled inverted 'V' Osteotomy excision arthroplasty". More than 200 patients of children & adults have been benefited by this new surgical procedure.
Our research papers regarding this problem were published in various journals Indian and International Orthopaedic journals. This original research has been published in Indian Journal of Orthopaedics. This paper was read in American Association of Orthopaedic Surgeons 2006 meet, Chicago. The study on Heterotopic ossification in stiff elbow won the best paper award and gold medal in "INDO- GERMAN ORTHOPAEDIC MEET". Early excision of heterotopic ossification contrary to conventional treatment in stiff elbow won the best paper, DrSurendran Gold medal award. V Osteotomy for ankylosed elbow has been published in Journal of Orthopaedic& Research, Hongkong. Live surgical demonstration to orthopaedic delegates in National Meet on stiff elbow release has been demonstrated. This work was presented in many state, National and International level Orthopaedic conference(Sicot- World Trauma congress,2011) meeting. Our hospital is specialized in treating this condition and have got very good results. Patients from various parts of the country were referred to us for the treatment of elbow stiffness. Today, elbow stiffness in not the end up of the world; it can be well treated with the proven surgical method for a fruitful outcome. We emphasize on spreading the awareness among public that elbow injuries need a proper management and not to go for uncanny treatment like oil massage and splinters by quacks or bone setters as this may lead to deformity and stiffness. In case if this happens due to any reason we have expertise and new technology to rectify this difficult problem.