REHABILITATION OF PATIENTS WITH ELBOW JOINT CONTRACTURE IN IMPROPERLY UNIONED SUPRECONDYL FRACTURES OF THE HUMERUS

Аннотация

The article presents the dynamics of elbow joint contracture development in cases of improperly healed supracondylar fractures of the humerus, as well as describes approaches to the rehabilitation of such patients. The course of the contracture depends on the time elapsed since the injury, as well as on the initial range of motion in the joint before the start and after the completion of the inpatient stage of conservative treatment. An analysis was carried out of the treatment results in 68 patients with supracondylar fractures of the humerus. It was found that in improperly healed fractures with complete displacement of the distal fragment anteriorly or posteriorly, the degree of proximal displacement plays an important role. In the absence of proximal displacement and with a period of 40–65 days after injury, it is possible to achieve a significant range of motion in the joint (flexion — 50°, extension — 160° or more).