Elbow osteoarthritis: prognostic indicators in ulnohumeral debridement--the Outerbridge-Kashiwagi procedure.
A consecutive series of 43 patients (44 elbows) underwent ulnohumeral debridement for elbow osteoarthritis. Thirty-five patients (36 elbows) were reviewed after a mean follow-up of 39 months. Eighty-one percent of patients were satisfied, with 12 good, 19 fair, and 5 poor outcomes. The mean flexion/extension arc, pain score, and locking were all significantly improved, but a significant number of patients had rest pain. Patients who had symptoms for less than 2 years, considerable preoperative pain, or cubital tunnel syndrome had a significantly increased chance of a good outcome. The absence of preoperative locking was associated with a significantly increased chance of a poor outcome. A history of trauma, preoperative range of movement, and radiograph score did not predict outcome.
Forster
M C
MC
Derbyshire Royal Infirmary, Derby, England.
Clark
D I
DI
Lunn
P G
PG
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003646:Debridement / Q000379:methods*; D004551:Elbow Joint / Q000601:surgery*; D005260:Female; D006801:Humans; D006811:Humerus / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods; D010003:Osteoarthritis / Q000000981:diagnostic imaging / Q000601:surgery*; D010147:Pain Measurement; D011336:Probability; D011379:Prognosis; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D012189:Retrospective Studies; D012494:Sampling Studies; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D018709:Statistics, Nonparametric; D016896:Treatment Outcome; D014457:Ulna / Q000503:physiopathology / Q000601:surgery