Table 3 Summary of Open Procedures
From: Treatment of osteoarthritis of the elbow with open or arthroscopic debridement: a narrative review
First Author | Year | Patient Mean Age (year) | Patient Symptoms | Number of patients and elbow (n=) | Type of treatment | Follow Up (Months) Range/mean | Evaluation Methods | Pain scale | Treatment Outcomes (Mean ROM) |
|---|---|---|---|---|---|---|---|---|---|
Tsuge K et al [19] | 1994 | 59 | Pain and loss of range of motion | 28 patients, 29 elbows | Open joint debridement | 64 | System of Japanese Orthopedic association | Good pain relief. No measure reported | Improvement of 33.2° |
Minami et al[27] | 1996 | 48.6 | Pain on terminal motion, loss of range of motion | 44 patients, 44 elbows | Outerbridge Kashiwagi procedure | 127 | (ROM) | 27 out of 44 reported good pain relief. No measure reported | Improvement by 17° |
Y.Oka[28] | 1998 | 32 | Severe pain at terminal flexion and extension, loss of range of motion | 26 patients, 26 elbows | Open procedure (lateral and medial approach) and Outerbridge Kashiwagi procedure | 46 | ROM | 0–2 grading scale (before 2 to after 0.24) | Improvement of 24° |
Cohen et al[14] | 2000 | 55 | Pain, Stiffness, Locking | 16 Patients, 18 Elbows | O-K Procedure | 35.3 | ROM and pain score | 0–6 Likert scale from MEPI (after 2 points) | Improvement of 15° |
Forster et al[20] | 2001 | 55 | Pain, decrease in range of motion, locking | 35 patients, 36 elbows | Outerbridge Kashiwagi pr0cedure | 39 | ROM, pain score | Morrey’s system (0–3 Likert scale). (1.8 before to 1.1 after) | (PRE OP39°-108°) (POST OP27°-121°) |
Antuna et al[21] | 2002 | 48 | Pain with terminal elbow extension | 45patients, 46 elbows | Open ulnohumeral arthroplasty | 80 | MEPS | 76% had complete pain relief. No measure reported | Improvement of 22° |
Philips et al[29] | 2003 | 51.4 | Pain and loss of flexion/extension | 19 patients, 20 elbows | O-K procedure | 75 | (DASH) and (MEPS) | All patients reported pain relief. No measure reported. | Improvement of 20° |
Sarris et al[30] | 2004 | 52 | patients was pain in terminal flexion and extension | 17 patients, 17 elbows | Outerbridge Kashiwagi procedure | 36 | Pain scale, ROM | Morrey’s system (0–3 Likert scale). All patient 0 post operatively. | PRE OP(26° to 98°) POST OP(14° to 118°) |
Wada et al[32] | 2005 | 50 | Loss of range of motion,pain | 32 patients 33 elbows | Debridement arthroplasty | 121 | ROM | Improved from 13 to 27 | Improvement of 24° |
Ugurlu et al[22] | 2009 | 47 | Pain and loss of range of motion | 10 patients 10 elbows | Ulnohumeral arthroplasty | 25 to 46 | Andrews and Carson score | VAS (before 8; after 3.1) | flexion-extension arc improved from 63.4° to 120° |
Hattori et al[23] | 2011 | 59 | Pain at the end points of motion | 31 patients 31 elbows | Debridement arthroplasty combined with capsulectomy | 19 ± 7 | (MEPS) | 23 painful, 8 mildly painful post operatively. No measure reported. | mean arc of elbow motion Increased by 40° +/_ 13°. |
Raval et al[12] | 2015 | 54 | Pain and stiffness at the extremes of movements | 13 Patients 13 elbows | Ulnohumeral arthroplasty | 48 | (Quick DASH), (VAS) | VAS (before 8 after 2) | Improvement of 27 degrees in the flexion extension arc |