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Clin Shoulder Elbow > Volume 14(1); 2011 > Article
Clinics in Shoulder and Elbow 2011;14(1):73-79.
DOI: https://doi.org/10.5397/CiSE.2011.14.1.073    Published online June 30, 2011.
The Clinical Usefulness of the Minimal Invasive Ulno-humeral Arthroplasty in the Patients with Mild to Moderate Elbow Arthritis
Bo Kun Kim, Hyun Dae Shin, Kyung Cheon Kim, Soo Min Cha
1Department of Orthopedic Surgery, Chungnam National University College of Medicine, Daejeon, Korea. hyunsd@cnu.ac.kr
2Department of Orthopedic Surgery, Dong-A University College of Medicine, Busan, Korea.
경도 및 중등도 주관절 관절염 환자에서 최소 침습적 척골-상완 관절 성형술의 임상적 유용성
김보건*·신현대·김경천·차수민
충남대학교 의과대학 정형외과학교실, 동아대학교 의과대학 정형외과학교실
Abstract
PURPOSE
To evaluate of the clinical usefulness of minimal invasive ulnohumeral arthroplasty in patients with mild to moderate elbow arthritis. MATERIALS AND METHODS: From January 2000 to December 2008, twenty-nine patients with mild to moderate elbow arthritis underwent minimal invasive ulnohumeral arthroplasty. Among these patients, we reviewed the cases of 24 patients for whom we had follow-up data for at least 1 year. There were 20 males and 4 females with a mean age of 53 years (range: 31~69). We excluded patients with preoperative ulnar neuropathy symptoms and investigated the mean operation time, the joint range of motion, the time required until the start of joint exercise, and the Mayo elbow performance score (MEPS).
RESULTS
Passive and active joint exercises were started in an average of 1.8 days (range: 1~4) after surgery; the mean operation time was 38 minutes (range: 25~55). The elbow joint range of motion was 25-104 degrees (extension 0~70, flexion 80~130) preoperatively and was improved 40 degrees on average to 14-133 degrees (extension 0~45, flexion 90~150) after a year of follow up. The average time required until the start of joint exercise was 1.6 days (range: 1~5). MEPS were excellent in 9 cases and good in 5 cases after a year of follow up. Although there was 1 case of delayed wound healing and 7 cases of postoperative edema, they improved spontaneously.
CONCLUSION
For patients with mild to moderate elbow arthritis, minimal invasive ulnohumeral arthroplasty is a clinically useful surgery since its operation time is short, early joint exercise is possible, and pain is mild.
Key Words: Elbow; Arthritis; Minimal invasive ulno-humeral arthroplasty
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