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Clin Shoulder Elbow > Volume 12(1); 2009 > Article
Journal of the Korean Shoulder and Elbow Society 2009;12(1):53-60.
DOI: https://doi.org/10.5397/CiSE.2009.12.1.053    Published online June 30, 2009.
Results of Arthroscopic Debridement of the Elbow Osteoarthritis
Churl Hong Chun, Jung Woo Kim, Jae Chang Lim
Department of Orthopaedic Surgery, School of Medicine, Wonkwang University, Iksan, Korea. serina@wonkwang.ac.kr
주관절 골관절염에서 관절경적 변연절제술 후 결과
전철홍·김정우·임재창
원광대학교 의과대학 정형외과학교실
Abstract
PURPOSE
Primary osteoarthritis on the elbow is the result of the growth of osteophytes and contracture of the capsule. It often causes disability on joint motion and pain while exercising. As arthroscopy has developed, the arthroscopic diagnosis and treatment of the elbow have recently become more generalized as well. Therefore, we like to report on arthroscopy for treating elbow arthritis and its results. MATERIALS AND METHODS: This study includes 23 cases of elbow arthritis that were seen between 2005 June to 2007 June and these patients didn't response to conservative treatment. From this we excluded 18 cases that underwent arthroscopic surgery and among these 18 cases, 6 cases underwent ulnar nerve transfer. The average observation time was 21.3 months and the average age was 48.4 years (range: 22-66 years). The pre and post operative pain was evaluated with using the Visual Analogue Scale (VAS) and functional evaluation was done with using the Mayo elbow Performance Score (MEPS) with the range of joint motion.
RESULTS
The VAS score at the last follow up was significantly decreased from 3.4 to 1.9 compare to the preoperative score. The range of joint motion was improved by 25 (0-40) to 8.5 (0-20) in extension and 101.7 (80-140) to 125.2 (85-140) in flexion (p<0.05). The MEPS always showed significant improvement by showing an increase from 65.4 (40-85) to 87.9 (55-100). However, 3 cases showed a decreased range of motion after the operation. One case showed ulnar nerve symptoms after surgery.
CONCLUSION
An arthroscopic procedure can treat the pathologic processes associated with arthritis of the elbow and it was safe and effective in this series.
Key Words: Elbow; Primary osteoarthritis; Arthroscopic debridement


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