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BMC Musculoskeletal Disorders

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Open Access 01-12-2018 | Research article

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

Authors: Keshav Poonit, Xijie Zhou, Bin Zhao, Chao Sun, Chenglun Yao, Feng Zhang, Jingwei Zheng, Hede Yan

Published in: BMC Musculoskeletal Disorders | Issue 1/2018

Abstract

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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Title: Treatment of osteoarthritis of the elbow with open or arthroscopic debridement: a narrative review
Authors: Keshav Poonit
Xijie Zhou
Bin Zhao
Chao Sun
Chenglun Yao
Feng Zhang
Jingwei Zheng
Hede Yan
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: BMC Musculoskeletal Disorders / Issue 1/2018
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-018-2318-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

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

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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