Effect of Debridement Arthroplasty for Osteoarthritis of the Elbow with Cubital Tunnel Syndrome

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Journal of the Korean Society for Surgery of the Hand 1999;4(2):204-211.
Published online January 1, 1999.

Poong Taek Kim,Ik Dong Kim,Joo Chul Ihn,Chung Hyun Lee

주 관 증후군을 동반한 주관절 골 관절염에서 골극절제 관절성형술의 효과

김풍택,김익동,인주철,이충현

Abstract

Purpose
: To evaluate the effect of debridement arthroplasty for the treatment of elbow osteoarthritis. Materials & methods : Between 1995 and 1998, we performed elbow debridement arthroplasty on 25 cases. The cases of the elbow osteoarthritis were primary osteoarthritis in 11, old trauma in 10 heterotopic ossification in 4. We report the use of a elbow bilateral or posteromedial approach for joint debridement and active elbow ROM exercise started in 3 to 7 days after operation. Results : We evaluated the results using the Knight & Van Zandt grading system, Good & Fair result were achived in 92 % of cases. The mean ROM gain in primary osteoarthritis cases are 13¡Æand old trauma cases are 41¡Æ and myositis ossificans cases are 42¡Æ. Symptoms of ulnar nerve palsy were much improved except 2 cases, and elbow pain is relieved except 2 cases. Conclusion : The debridement arthroplasty in elbow osteoarthritis patients are associated with gain in elbow ROM and improvement of ulnar nerve palsy symptoms and relieve of elbow pain.

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