Open arthrolysis of the elbow in extrinsic contractures

This review article discusses the operative treatment options for release o f essentially extracartilaginous contractures of the elbow (referred to as extrinsic contractures). Indications, preoperative work-up, specific operat ive strategy and techniques, rehabilitation, possible complications, and re sults are discussed and compared. Special reference is made to the techniqu e of sequential surgical release based on the transhumeral approach. This t echnique makes it possible to optimize the articular offset while preservin g the static and dynamic stabilizers of the joint. Treatment of contractures of the elbow remains dangerous and delicate. It d eserves experienced surgical handling in order to avoid complications. Thus , it remains to be hoped that qualified management will help to improve the relatively mediocre functional results.