| A Long-term Results of Ulnohumeral Arthroplasy in Primary Osteoarthritis of the Elbow |
| Sung-Ryong Shin, M.D., Hyung-Nyun Kim, M.D., Yong-Wook Park, M.D., Sang-Soo Lee, M.D.,
Un-Seob Jeong, M.D. and Do-Young, Kim, M.D.* |
| Department of Orthopedic Surgery, Chunchon Sacred Heart Hospital, Hallym University College of Medicine,
Chunchon, Korea |
| 척상완 성형술을 이용한 주관절 일차성 골관절염 치료의 장기 추시 결과 |
| 신성룡, 김형년, 박용욱, 이상수, 정운섭, 김도영 |
| 한림대학교 의과대학 춘천성심병원 정형외과학교실 |
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| Abstract |
Purpose
To assess the long-term effect of ulnohumeral arthroplasty and the relationship between radiological recurrence and clinical outcome. Materials and Methods: Eleven elbows with primary osteoarthritis were analyzed at an average of eighty months after ulnohumeral arthroplasty. All patients were male with a mean age of fifty years. The outcomes were assessed using the Mayo Elbow Performance Score(MEPS) and the clinical and radiological results were compared. Results: Four elbows were not painful and six were mildly painful but one was not changed. The mean gain in extension was 15°, in flexion 10°. There were satisfactory results in 8 elbows(73%) and the mean MEPS was 81 points. All of eleven elbows had some degree of recurrent osteoarthritis and there was no correlation between radiological recurrence and clinical endpoints in nine elbows. But in two elbows, it appeared that recurrence of osteophyte at coronoid process was severe and caused fair outcome. Conclusion: Ulnohumeral arthroplasy is one of the effective treatment options for primary osteoarthritis of the elbow. The radiological recurrence did not correlated with the clinical outcome in most cases. |
| Key Words:
Elbow, Primary Osteoarthritis, Ulnohumeral Arthroplasty |
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