{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:24:39Z","timestamp":1787030679744,"version":"build-2736575974"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: The aim of this study was to evaluate the long-term radiological and functional results of distraction interposition arthroplasty using an Achilles tendon allograft.\n\nMethods: The study included 5 patients (3 females and 2 males; mean age: 31 years, range: 25 to 41 years) who underwent distraction interposition arthroplasty for stiff elbow and arthrosis due to intrinsic factors between 2001 and 2010. Interposition with fresh-frozen Achilles allograft and collateral ligament reconstruction were performed in all patients. Mean follow-up period was 87.6 (range: 40 to 131) months. Mean distraction time with an external fixator was 7 (range: 6 to 8) weeks. Elbow motion was allowed in the first postoperative day in all patients. Radiological evaluation was performed pre- and postoperatively. Elbow ROM, and the Mayo Elbow Performance Score (MEPS) and DASH scores were recorded for functional evaluation.\n\nResults: Mean preoperative flexion-extension range was 24\u00b0 (range: 0\u00b0 to 80\u00b0) and mean supination-pronation range was 15\u00b0. Two patients had elbow ankylosis in 90\u00b0 and 60\u00b0 of flexion at the preoperative examination. Mean postoperative flexion-extension range increased significantly to 81\u00b0 (range: 50\u00b0 to 110\u00b0) (p&lt;0.05). Mean preoperative DASH score improved from 75.3 (range: 53 to 89) to 18.9 (range: 6.7 to 45.8) postoperatively (p&lt;0.05). Mean postoperative MEPS were poor (mean: 25, range: 20 to 35) while postoperative MEPS were good (mean: 71, range: 70 to 75) in 4 patients and fair in 1 (p&lt;0.05). No patient experienced elbow instability at the final follow-up and none required revision.\n\nConclusion: Distraction interposition arthroplasty is a salvage procedure which appears to have good long-term functional results, especially in patients in which elbow arthroplasty is not suitable. The use of Achilles allograft for interposition can protect the joint space in the long-term.\n\n \n\n\u00d6zet\n\n \n\nAma\u00e7: Bu \u00e7al\u0131\u015fmada A\u015fil tendon allogrefti kullan\u0131larak yap\u0131lan distraksiyon interpozisyon artroplastisinin uzun d\u00f6nem radyolojik ve fonksiyonel sonu\u00e7lar\u0131n\u0131n de\u011ferlendirilmesi ama\u00e7land\u0131.\n\n\u00c7al\u0131\u015fma plan\u0131: 2001-2010 y\u0131llar\u0131 aras\u0131nda intrensek kaynakl\u0131 dirsek sertli\u011fi ve artrozu nedeniyle distraksiyon interpozisyon artroplastisi uygulanan 5 hasta (3 kad\u0131n, 2 erkek; ortalama ya\u015f: 31, da\u011f\u0131l\u0131m: 25-41) \u00e7al\u0131\u015fmaya al\u0131nd\u0131. T\u00fcm hastalarda taze donmu\u015f A\u015fil allogrefti ile interpozisyon ve kollateral ba\u011f rekonstr\u00fcksiyonu uyguland\u0131. Hastalar\u0131n ortalama takip s\u00fcresi 87.6 (da\u011f\u0131l\u0131m: 40-131) ay idi. Eksternal fiksat\u00f6rle distraksiyon ortalama 7 (da\u011f\u0131l\u0131m: 6-8) hafta uyguland\u0131. T\u00fcm hastalara ameliyattan sonra 1. g\u00fcn dirsek hareketine ba\u015fland\u0131. Hastalar\u0131n ameliyat \u00f6ncesi ve sonras\u0131 radyolojik de\u011ferlendirmeleri yap\u0131ld\u0131. Yine, ameliyat \u00f6ncesi ve sonras\u0131, hastalar\u0131n dirsek eklemi hareket a\u00e7\u0131kl\u0131\u011f\u0131, Mayo Dirsek Performans Skoru ve DASH skorlar\u0131 \u00f6l\u00e7\u00fclerek fonksiyonel de\u011ferlendirmeleri yap\u0131ld\u0131.\n\nBulgular: Hastalar\u0131n ameliyat \u00f6ncesi ortalama fleksiyon\u2013ekstansiyon ark\u0131 24\u00b0 (da\u011f\u0131l\u0131m: 0\u00b0-80\u00b0), supinasyon-pronasyon ark\u0131 15\u00b0 idi. \u0130ki hastan\u0131n ameliyat \u00f6ncesi muayenesinde 90\u00b0 ve 60\u00b0 fleksiyonda dirsek ankilozu mevcuttu. Son kontrollerde ortalama fleksiyon-ekstansiyon ark\u0131n\u0131n anlaml\u0131 olarak 81 dereceye (da\u011f\u0131l\u0131m: 50\u00b0-110\u00b0) y\u00fckseldi\u011fi g\u00f6r\u00fcld\u00fc (p&lt;0.05). Ameliyat \u00f6ncesi ortalama 75.3 (da\u011f\u0131l\u0131m: 53-89) olan DASH skoru, ameliyat sonras\u0131nda 18.9\u2019a (da\u011f\u0131l\u0131m: 6.7-45.8) y\u00fckseldi (p&lt;0.05). Yine ameliyat \u00f6ncesi ortalama 25 (da\u011f\u0131l\u0131m: 20-35) puan ile k\u00f6t\u00fc olarak nitelenen MDPS, son kontrollerde ortalama 71 (da\u011f\u0131l\u0131m: 70-75) puan ile 4 hastada iyi, 1 hastada ise orta olarak belirlendi (p&lt;0.05). Hastalar\u0131n son muayenelerinde dirseklerinde instabilite g\u00f6r\u00fclmezken, hi\u00e7bir hastada revizyon cerrahisine ihtiya\u00e7 olmad\u0131.\n\n\u00c7\u0131kar\u0131mlar: Distraksiyon interpozisyon artroplastisi, \u00f6zellikle dirsek artroplastisinin uygun olmad\u0131\u011f\u0131 hasta grubunda fonksiyonel anlamda uzun d\u00f6nemde iyi sonu\u00e7lar veren kurtar\u0131c\u0131 bir giri\u015fimdir. \u0130nterpozisyon amac\u0131yla kullan\u0131lan A\u015fil allogrefti eklem aral\u0131\u011f\u0131n\u0131 uzun d\u00f6nemde koruyabilmektedir.<\/jats:p>","DOI":"10.3944\/aott.2014.14.0131","type":"journal-article","created":{"date-parts":[[2014,11,14]],"date-time":"2014-11-14T08:45:27Z","timestamp":1415954727000},"page":"558-562","source":"Crossref","is-referenced-by-count":21,"title":["Stiff elbow: Distraction interposition arthroplasty with an Achilles tendon allograft: longterm radiological and functional results"],"prefix":"10.5152","volume":"48","author":[{"given":"Ali","family":"Ersen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Demirhan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ata","family":"Can lar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet","family":"Salduz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Onur","family":"Tunali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2883\/2836","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:19:12Z","timestamp":1763464752000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2883"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2014,1,5]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2014.14.0131","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}