April 28, 2025
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Key takeaways:
- Sufferers with extreme heterotopic ossification across the elbow that brought about ankylosis benefited from surgical excision.
- A minimum of 75% of sufferers maintained no less than 100° vary of movement at 2-year follow-up.
SAN DIEGO — Outcomes confirmed surgical excision paired with optimized rehabilitation for the therapy of full elbow ankylosis resulting from elbow heterotopic ossification could result in improved long-term outcomes.
“These findings reinforce the significance of excision in restoring perform,” Krishin S. Shivdasani, MD, MPH, orthopedic surgical procedure resident at Loyola Drugs, mentioned in his presentation on the American Academy of Orthopaedic Surgeons Annual Assembly.
Shivdasani, Dane H. Salazar, MD, and colleagues retrospectively reviewed knowledge from 13 sufferers (16 elbows) who exhibited full ankylosis on the time of surgical procedure after present process operative resection for heterotopic ossification across the elbow.
Krishin S. Shivdasani
Dane H. Salazar
Variables measured included intraoperative vary of movement and vary of movement, VAS ache scores and Mayo Elbow Efficiency Scores at long-term follow-up.
In keeping with Salazar, affiliate professor of orthopedic surgical procedure at Loyola Drugs, sufferers with extreme heterotopic ossification across the elbow that brought about ankylosis benefited from surgical excision. He mentioned no less than 75% of sufferers maintained no less than 100° vary of movement at 2-year follow-up.
He mentioned ulnar nerve administration is “exceptionally necessary” on this affected person inhabitants.
Shivdasani additionally mentioned there have been low postoperative VAS ache scores, and that Mayo Elbow Efficiency Scores indicated good to wonderful perform.
“These sufferers require a multimodal method that’s useful resource heavy,” Salazar mentioned. “I extremely advocate them to go to facilities that care for high-volume elbow pathology.”
He added, “What we have to do is to ascertain whether or not or not surgical procedure is as efficient with a special postoperative rehabilitation protocol. And that reply we have no idea.”
For extra info:
Dane H. Salazar, MD, needs to be contacted by Allison Peters at allison.peters@luhs.org.
Sources/Disclosures
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Shivdasani KS, et al. Paper 391. Introduced at: American Academy of Orthopaedic Surgeons Annual Assembly; March 10-14, 2025; San Diego.
Disclosures:
Salazar and Shivdasani report no related monetary disclosures.
