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Clin Shoulder Elbow > Volume 12(1); 2009 > Article
Journal of the Korean Shoulder and Elbow Society 2009;12(1):67-75.
DOI: https://doi.org/10.5397/CiSE.2009.12.1.067    Published online June 30, 2009.
Debridement Arthroplasty using Posteromedial Approach in Elbow Joint with Pain and Bony Limitation of Motion
Sang Jin Cheon, Dong Ho Lee, Seung Han Cha, Hui Taek Kim, Jeung Tak Suh
Department of Orthopedic Surgery, College of Medicine, Pusan National University, Korea. scheon@pusan.ac.kr
동통과 골성 운동 제한이 있는 주관절에서 후내측 도달법을 이용한 변연 절제 관절 성형술
천상진·이동호·차승한·김휘택·서정탁
부산대학교 의과대학 정형외과학교실
Abstract
PURPOSE
This study evaluated the clinical outcomes of debridement arthroplasty using the posteromedial approach in elbow joints with pain and bony limitation of motion. MATERIALS AND METHODS: This study involved 16 elbows in 16 patients with pain and bony limitation of motion, which were treated by debridement arthroplasty using the posteromedial approach from March 2005 to March 2008. The mean follow up period was 27.6 (13~52) months. The clinical outcomes were analyzed using the Visual Analogue Scale(VAS) for pain scale, the preoperative and postoperative range of motion and the Mayo Elbow Performance Scores(MEPS).
RESULTS
The VAS was decreased significantly from a preoperative mean of 4.5 to a postoperative mean 1.1 (p<0.001). The average arc of motion improved significantly from 61.6 (0~90)degrees preoperatively to 109.4 (80-120)degrees postoperatively (p<0.001). The MEPS also improved significantly from 59.4 to 85.6 postoperatively (p<0.001). There were no complications, such as hematoma and elbow instability.
CONCLUSION
Debridement arthroplasty using the posteromedial approach is a useful surgical procedure in the elbow joint with pain and bony limitation of motion, where all compartments can be debrided, the ulnar nerve can be manipulated easily and damage to the medial collateral ligament can be minimized.
Key Words: Elbow; Pain; Bony limitation of motion; Posteromedial approach; Debridement arthroplasty
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