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Treatment of osteoarthritis of the elbow with open or arthroscopic debridement: a narrative review

BACKGROUND: Elbow osteoarthritis (OA) is a common disabling condition because of pain and loss of motion. Open and arthroscopic debridement are the preferred treatment, however there is no consensus on which treatment modality is suited to which category of patient or stage of disease. The objective...

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Autores principales: Poonit, Keshav, Zhou, Xijie, Zhao, Bin, Sun, Chao, Yao, Chenglun, Zhang, Feng, Zheng, Jingwei, Yan, Hede
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234784/
https://www.ncbi.nlm.nih.gov/pubmed/30414617
http://dx.doi.org/10.1186/s12891-018-2318-x
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author Poonit, Keshav
Zhou, Xijie
Zhao, Bin
Sun, Chao
Yao, Chenglun
Zhang, Feng
Zheng, Jingwei
Yan, Hede
author_facet Poonit, Keshav
Zhou, Xijie
Zhao, Bin
Sun, Chao
Yao, Chenglun
Zhang, Feng
Zheng, Jingwei
Yan, Hede
author_sort Poonit, Keshav
collection PubMed
description BACKGROUND: Elbow osteoarthritis (OA) is a common disabling condition because of pain and loss of motion. Open and arthroscopic debridement are the preferred treatment, however there is no consensus on which treatment modality is suited to which category of patient or stage of disease. The objective of this study was to narratively review the literature for a more comprehensive understanding of its treatment options and associated outcomes, trying to provide a better treatment plan. METHODS: The PubMed database, EMBASE, Cochrane Library, and Google Scholar were searched, using the keywords (elbow [title/abstract] and osteoarthritis [title/abstract] and (surgery or open or arthroscop* or debridement or ulnohumeral arthroplasty) including all possible studies with a set of inclusion and exclusion criteria. RESULTS: A total of 229 studies were identified. Twenty-one articles published between 1994 and 2016 satisfied the inclusion and exclusion criteria including 651 elbows in 639 patients. After comparison, mean postoperative improvement in (ROM) was 28.6° and 23.3°,Mayo elbow performance score/index(MEPS/MEPI) 31 and 26.8 and the total complication rate was 37(11.5%), and 18(5.5%) for open and arthroscopic procedure. CONCLUSIONS: This narrative review could not provide an insight on which surgical procedure is superior to the other due to the poor orthopedics literature. However, from the data we obtained the open and arthroscopic debridement procedures seem to be safe and effective in the treatment of elbow OA. The optimal surgical intervention for the treatment of symptomatic elbow OA should be determined depending on patients’ conditions.
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spelling pubmed-62347842018-11-20 Treatment of osteoarthritis of the elbow with open or arthroscopic debridement: a narrative review Poonit, Keshav Zhou, Xijie Zhao, Bin Sun, Chao Yao, Chenglun Zhang, Feng Zheng, Jingwei Yan, Hede BMC Musculoskelet Disord Research Article BACKGROUND: Elbow osteoarthritis (OA) is a common disabling condition because of pain and loss of motion. Open and arthroscopic debridement are the preferred treatment, however there is no consensus on which treatment modality is suited to which category of patient or stage of disease. The objective of this study was to narratively review the literature for a more comprehensive understanding of its treatment options and associated outcomes, trying to provide a better treatment plan. METHODS: The PubMed database, EMBASE, Cochrane Library, and Google Scholar were searched, using the keywords (elbow [title/abstract] and osteoarthritis [title/abstract] and (surgery or open or arthroscop* or debridement or ulnohumeral arthroplasty) including all possible studies with a set of inclusion and exclusion criteria. RESULTS: A total of 229 studies were identified. Twenty-one articles published between 1994 and 2016 satisfied the inclusion and exclusion criteria including 651 elbows in 639 patients. After comparison, mean postoperative improvement in (ROM) was 28.6° and 23.3°,Mayo elbow performance score/index(MEPS/MEPI) 31 and 26.8 and the total complication rate was 37(11.5%), and 18(5.5%) for open and arthroscopic procedure. CONCLUSIONS: This narrative review could not provide an insight on which surgical procedure is superior to the other due to the poor orthopedics literature. However, from the data we obtained the open and arthroscopic debridement procedures seem to be safe and effective in the treatment of elbow OA. The optimal surgical intervention for the treatment of symptomatic elbow OA should be determined depending on patients’ conditions. BioMed Central 2018-11-10 /pmc/articles/PMC6234784/ /pubmed/30414617 http://dx.doi.org/10.1186/s12891-018-2318-x Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Poonit, Keshav
Zhou, Xijie
Zhao, Bin
Sun, Chao
Yao, Chenglun
Zhang, Feng
Zheng, Jingwei
Yan, Hede
Treatment of osteoarthritis of the elbow with open or arthroscopic debridement: a narrative review
title Treatment of osteoarthritis of the elbow with open or arthroscopic debridement: a narrative review
title_full Treatment of osteoarthritis of the elbow with open or arthroscopic debridement: a narrative review
title_fullStr Treatment of osteoarthritis of the elbow with open or arthroscopic debridement: a narrative review
title_full_unstemmed Treatment of osteoarthritis of the elbow with open or arthroscopic debridement: a narrative review
title_short Treatment of osteoarthritis of the elbow with open or arthroscopic debridement: a narrative review
title_sort treatment of osteoarthritis of the elbow with open or arthroscopic debridement: a narrative review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234784/
https://www.ncbi.nlm.nih.gov/pubmed/30414617
http://dx.doi.org/10.1186/s12891-018-2318-x
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