KINESITHERAPY AFTER ARTHROSCOPIC TREATMENT OF FRACTURES IN THE AREA OF THE ELBOW JOINT
DOI:
https://doi.org/10.35120/kij5404649bKeywords:
elbow joint, fractures, arthroscopy, kinesitherapyAbstract
The elbow joint is a complex intermediate motor unit of the upper limb. Pathological changes in the
elbow joint affect the overall function of the upper limb, and this makes it difficult to carry out activities of daily
living, practice sports, perform physical labor. As a consequence of the various trauma lesions with subsequent
immobilization of the elbow joint, there are numerous functional limitations and problems that interfere with the
normal function of the joint, such as limited range of motion, pain, muscle imbalance, edema, etc. The complex
anatomical and biomechanical characteristics of the joint determine the difficulty of functional recovery, which is a
complex and prolonged process, and necessitates the search for more sparing methods of treatment, such as
arthroscopy. Arthroscopy originated as a diagnostic procedure, but has subsequently been applied as a therapeutic
procedure to treat a wide range of joint pathologies. Michael Burman in 1932 first reported on elbow joint
arthroscopy performed on cadaver models. There are many indications from removal of intra-articular loose bodies
to treatment of elbow osteoarthritis and fractures. Elbow fractures are one of the most difficult upper extremity
injuries to treat and kinesitherapy. Restriction of movement can lead to a significant reduction in working capacity
with serious social and occupational consequences. The duration and successful recovery of the joint depends on the
type of fracture. Studies have shown that arthroscopic treatment versus open surgical interventions favor reduced
postoperative time, as well as faster return to premorbid activity. Targeted kinesitherapy is needed to maximize
rapid functional recovery of the elbow joint after arthroscopy. Early complex kinesitherapy after arthroscopic
treatment of fractures in the elbow joint determines the maximum possible recovery of upper limb function. It is
extremely important to ensure the complete success of the operation, to prevent the likelihood of complications after
surgery. The ultimate goal of treatment is a functioning, pain-free and stable elbow.
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