Range-of-motion improvement and complication rate in open and arthroscopic osteocapsular arthroplasty for primary osteoarthritis of the elbow: a systematic review

Kim, Dong Min; Han, Minkyu; Jeon, In-Ho; Shin, Myung Jin; Koh, Kyoung Hwan

doi:10.1007/s00264-019-04458-z

Cited by 16 publications

(9 citation statements)

References 43 publications

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“…Regarding complications, in a systematic review, Kim et al 48 reported that open debridement is associated with a relatively higher complication and reoperation rates than arthroscopic OCA. Neuropraxia seems to be the most prevalent complication.…”

Section: Reported Outcomes In the Literaturementioning

confidence: 99%

Primary Elbow Osteoarthritis: Evaluation and Management

Martínez-Catalán

Sánchez-Sotelo

2021

Journal of Clinical Orthopaedics and Trauma

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Most patients with primary osteoarthritis of the elbow report a history of heavy lifting with the affected upper extremity . Conservative treatment, including activity modifications, nonsteroidal anti-inflammatory drugs and the occasional intraarticular corticosteroid injection, may provide adequate pain relief in earlier stages . When surgery is required, and despite the presence of cartilage wear, many patients with primary elbow osteoarthritis experience substantial pain improvement with joint preserving procedures . The ulnar nerve needs to be carefully assessed and addressed at the time of surgery . Although open debridement procedures are effective, arthroscopic osteocapsular arthroplasty has emerged as the surgical procedure of choice . Total elbow arthroplasty is very successful in terms of pain relief and function, but it is reserved for patients with end-stage osteoarthritis who are relatively older and have failed joint preserving procedures.

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Section: Reported Outcomes In the Literaturementioning

confidence: 99%

Primary Elbow Osteoarthritis: Evaluation and Management

Martínez-Catalán

Sánchez-Sotelo

2021

Journal of Clinical Orthopaedics and Trauma

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“…47 In a systematic review, Kim et al reported that both open and arthroscopic OCA improve ROM and clinical scores and that open debridement is associated with a relatively higher complication and reoperation rates than arthroscopic OCA. 48 However, arthroscopic OCA is more technically demanding than open surgery, and the surgeon’s experience and familiarity with the technique are essential to avoid neurovascular injury.…”

Section: Managementmentioning

confidence: 99%

Surgical management for primary osteoarthritis of the elbow

Kwak

Jeon

2021

J Orthop Surg (Hong Kong)

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The objective of this review is to summarize the surgical options for primary osteoarthritis of the elbow, reported clinical outcomes, and suggested indications in previous literatures. The surgical management of primary elbow arthritis has evolved because of an improved understanding of pathologic mechanisms and manifestations as well as the development of novel surgical techniques and devices. Osteocapsular arthroplasty (OCA), elbow debridement, distraction arthroplasty, and total elbow arthroplasty (TEA) have been employed for managing elbow osteoarthritis. Elbow debridement and OCA can be helpful in most cases of symptomatic elbow arthritis. TEA is usually recommended for end-stage arthritis in elderly patients after prosthetic implants have been in place for long periods or after complications. Distraction arthroplasty might find a place in the treatment of younger, active patients with end-stage arthritis.

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“…4 Both open and arthroscopic osteocapsular arthroplasty have been previously reported. 5 However, various pathomechanisms related to the stiffness in primary elbow OA have been determined, and studies regarding those mechanisms are relatively rare. Anatomically, the two main pathology to address the stiffness in primary OA are spur, and contracture of capsuloligamentous tissue.…”

Section: Introductionmentioning

confidence: 99%

Ulnar nerve decompression with osteocapsular arthroplasty for primary elbow osteoarthritis

Kim

Kwak

2022

J Orthop Surg (Hong Kong)

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Purpose The aim of this study was to suggest treatment guidline for primary elbow OA with ulnar nerve neuropathy or high-grade stiffness by evaluating the effect of ulnar nerve decompression on the outcome of osteocapsular arthroplasty. Methods A total of 30 patients who underwent primary osteocapsular arthroplasty for elbow OA were retrospectively reviewed. The surgical outcomes were evaluated for pain score (visual analog scale; VAS), range of motion (ROM), and Mayo Elbow Performance Score (MEPS). The ulnar nerve decompression was performed for (1) ulnar nerve neuropathy, and (2) high-grade stiffness of flexion, defined as the flexion angle, is <90°. Patients were categorized into the two groups: ulnar nerve decompression group (UD group, n = 11) and the non-decompression group (Non-UD group, n = 19). The surgical outcome was compared between the groups. Results Primary elbow OA with cubital tunnel syndrome or high-grade stiffness showed comparable improvement in MEPS, VAS, and ROM arc at final follow-up in the UD group compared with the non-UD group (UD group vs. non-UD group: MEPS 85.91 vs 86.84, p-value = 0.824, VAS 1.46 vs 1.16, p-value = 0.588, ROM arc 108 vs 109, p-value = 0.949). Improvement in ROM arc at 2 years follow-up was significantly higher in UD group (UD group vs. non-UD group: ROM arc difference, 42 vs 14, p = 0.002). Conclusion Osteocapsular arthroplasty with ulnar nerve decompression for primary elbow OA with ulnar nerve neuropathy or high-grade stiffness provided improved motion arc and compatible clinical results. Level of evidence Level III, Retrospective comparative study

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Range-of-motion improvement and complication rate in open and arthroscopic osteocapsular arthroplasty for primary osteoarthritis of the elbow: a systematic review

Cited by 16 publications

References 43 publications

Primary Elbow Osteoarthritis: Evaluation and Management

Primary Elbow Osteoarthritis: Evaluation and Management

Surgical management for primary osteoarthritis of the elbow

Ulnar nerve decompression with osteocapsular arthroplasty for primary elbow osteoarthritis

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