Elbow osteoarthritis: Prognostic indicators in ulnohumeral debridement—The Outerbridge-Kashiwagi procedure

A consecutive series of 43 patients (44 elbows) underwent ulnohumeral debridement for elbow osteoarthritis. Thirty-five patients (36 elbows) were reviewed after a mean follow-up of 39 months. Eighty-one percent of patients were satisfied, with 12 good, 19 fair, and 5 poor outcomes. The mean flexion/...

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Bibliographic Details
Published in:Journal of shoulder and elbow surgery 2001-11, Vol.10 (6), p.557-560
Main Authors: Forster, M.C., Clark, D.I., Lunn, P.G.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Debridement - methods
Elbow Joint - surgery
Female
Humans
Humerus - physiopathology
Humerus - surgery
Male
Middle Aged
Orthopedic Procedures - methods
Osteoarthritis - diagnostic imaging
Osteoarthritis - surgery
Pain Measurement
Probability
Prognosis
Radiography
Range of Motion, Articular - physiology
Recovery of Function
Retrospective Studies
Sampling Studies
Sensitivity and Specificity
Severity of Illness Index
Statistics, Nonparametric
Treatment Outcome
Ulna - physiopathology
Ulna - surgery
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Summary:A consecutive series of 43 patients (44 elbows) underwent ulnohumeral debridement for elbow osteoarthritis. Thirty-five patients (36 elbows) were reviewed after a mean follow-up of 39 months. Eighty-one percent of patients were satisfied, with 12 good, 19 fair, and 5 poor outcomes. The mean flexion/extension arc, pain score, and locking were all significantly improved, but a significant number of patients had rest pain. Patients who had symptoms for less than 2 years, considerable preoperative pain, or cubital tunnel syndrome had a significantly increased chance of a good outcome. The absence of preoperative locking was associated with a significantly increased chance of a poor outcome. A history of trauma, preoperative range of movement, and radiograph score did not predict outcome. (J Shoulder Elbow Surg 2001;10:557-60.)
ISSN:1058-2746
1532-6500
DOI:10.1067/mse.2001.118416