Journal of Mazandaran University of Medical Sciences (Jan 2008)
The Results of ulnohumeral arthroplasty in elbow osteoarthritis
Abstract
AbstractBackground and Purpose: Osteoarthritis (OA) of elbow is not common but can be disabling, if it is not responding to non-operative methods. Several surgical methods are suggested (joint debridment, ulnohumeral arthroplasty, fusion and total elbow arthroplasty). In this study, we evaluated the result of ulnohumeral arthroplasty in seven patients.Materials and Methods: Seven patients (5 males and 2 females) mean age 46 years of age (56-43), during 1378-1385 were operated on with the same approach. Via posterior incision of elbow along with creation of a hole (17mm diameter) all of coronoid and olecranon osteophyte were removed.Results: Mean follow-up was 18 months (12-38 months). Patients were evaluated by radiographic, clinical examination and MEPS criteria. Six patients (85%) had relief from pain, and obtained good to excellent results, with an increased range of motion at about 53.5 degree. One patient had relative relief of pain and moderate MEPS. After a year, only in one patient osteophyt formation and reduction in range of motion was observed.Conclusion: Due to a good to excellent results of (85%), increased range of motion in the elbow, relief of pain against low cost and short time of hospitalization, ulnohumeral arthroplasty is a suitable method of surgery in osteoarthritis of elbow.Key words: Elbow, Ulnohumeral arthroplasty, OsteoarthritisJ Mazand Univ Med Sci 2008; 18(64): 86-90 (Persian)
