Debridement arthroplasty for osteoarthritis of the elbow (Outerbridge-Kashiwagi procedure).
The Outerbridge-Kashiwagi (O-K) procedure has been described to treat mild to moderate osteoarthritis of the elbow. We treated a consecutive series of 15 patients (16 elbows) with the O-K procedure. All patients were reviewed after a mean follow-up of twenty months (range 3-64 months). The purpose of this study was to evaluate the results of the O-K procedure. Assessment included evaluation of elbow pain, range of motion and the Mayo elbow Performance Index (MPI). The mean arc of motion improved from 94 degrees (range, 65 degrees-120 degrees) preoperatively to 114 degrees (range 93 degrees-128 degrees) at the time of follow-up (p < 0.01). At the latest follow-up evaluation the total MPI improved from 63 (range, 50-75) to 88 (range, 45-100) (p < 0.01), eight elbows (50%) had no pain, seven (43.8%) mild pain and one (6.2%) moderate pain. The result was excellent for 8 elbows (50%), good for 6 (37.5%), fair for one (6.2%) and poor for one (6.2%). Patients' satisfaction showed that thirteen (86.6%) were much better or better and two (13.3%) were not improved compared with the preoperative situation.
Orthopaedic Department, University Hospital Pellenberg, Leuven, Belgium.
Bart
B
Vingerhoeds
Ilse
I
Degreef
Luc
L
De Smet
D000328:Adult; D000368:Aged; D019643:Arthroplasty, Replacement / Q000379:methods*; D015331:Cohort Studies; D003646:Debridement / Q000379:methods; D004551:Elbow Joint; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; 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; D018570:Risk Assessment; D012720:Severity of Illness Index; D018709:Statistics, Nonparametric; D016896:Treatment Outcome