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Ulnohumeral debridement arthroplasty: a retrospective study and midterm outcome results

  • Original Article • ELBOW - ARTHROPLASTY
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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Introduction

Osteoarthritis of the elbow (OA) is an uncommon entity. In most cases, it can be attributed to long-standing occupational stress, previous injury, loose bodies in the joint. Patients complain of pain and stiffness at the extremes of movements. This can be caused by degenerative changes at the radio-capitellar, ulnohumeral joint or due to ulnar nerve symptoms. We perform the Outerbridge–Kashiwagi (OK) procedure at our institution for the management of problematic primary elbow osteoarthritis.

Objectives

The purpose of this retrospective study was to evaluate the outcome of ulnohumeral arthroplasty in 13 elbows which was done over a period of 6 years in our institution. Range of movement (ROM) and pain were measured, and X-rays were assessed.

Methods

Thirteen patients who underwent ulnohumeral arthroplasty between 2006 and 2012 were included in the study. There were 11 males and 2 females with an average age of 54 years (35–78), with a mean follow-up of 4 years.

Results

The pain score improved from 8 (6–10) to 2 (0–2) using the visual analogue scale. Eleven patients were completely pain-free. There was an improvement of 27° in the flexion extension arc. There were no complications.

Conclusions

Ulnohumeral arthroplasty can yield good pain relief and moderate improvement in the range of movement. It is a relatively easy and safe procedure to perform in patients with primary degenerative osteoarthritis of the elbow.

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References

  1. Warwick D (2010) The elbow and forearm. Apley’s system of orthopaedics and fractures 9th edition, pp 375–376

  2. Morrey BF (1992) Primary degenerative arthritis of the elbow. Treatment by ulnohumeral arthroplasty. J Bone Joint Surg Br 74(3):409–413

    CAS  PubMed  Google Scholar 

  3. Canale ST, Beaty JH (2013) Shoulder and elbow arthroplasty. Campbell’s operative orthopaedics, twelfth edition. Copyright© by Mosby, an Imprint of Elsevier Inc, pp 532–582

  4. Minami M, Kato S, Kashiwagi D (1996) Outerbridge-Kashiwagi’s method for arthroplasty of osteoarthritis of the elbow—44 elbows followed for 8–16 years. J Orthop Sci 1(1):11–15

    Article  Google Scholar 

  5. Krishnan SG, Harkins DC, Pennington SD, Harrison DK, Burkhead WZ (2007) Arthroscopic ulnohumeral arthroplasty for degenerative arthritis of the elbow in patients under fifty years of age. J Shoulder Elbow Surg 16(4):443–448

    Article  PubMed  Google Scholar 

  6. Degreef I, De Smet L (2011) The arthroscopic ulnohumeral arthroplasty: from mini-open to arthroscopic surgery. Minimally invasive surgery Vol 2011, Article ID 798084

  7. Kashiwagi D (1978) Intra-articular changes of the osteoarthritic elbow, especially about the fossa olecrani. J Jpn Orthop Assoc 52:1367–1382

    Google Scholar 

  8. Phillips NJ, Ali A, Stanley D (2003) Treatment of primary degenerative arthritis of the elbow by ulnohumeral arthroplasty. A long-term follow-up. J Bone Joint Surg Br 85(3):347–350

    Article  CAS  PubMed  Google Scholar 

  9. Hearnden A, Talwalkar SC, Roy N, Kimani M, Hayton MJ, Trail IA, Stanley JK (2009) Ulnohumeral arthroplasty in the management of the arthritic elbow. Shoulder Elbow 1(2):95–98

    Article  Google Scholar 

  10. Antuña SA, Morrey BF, Adams RA, O’Driscoll SW (2002) Ulnohumeral arthroplasty for primary degenerative arthritis of the elbow: long-term outcome and complications. J Bone Joint Surg Am 84-A(12):2168–2173

    PubMed  Google Scholar 

  11. Sarris I, Riano FA, Goebel F, Goitz RJ, Sotereanos DG (2004) Ulnohumeral arthroplasty: results in primary degenerative arthritis of the elbow. Clin Orthop Relat Res 420:190–193

    Article  PubMed  Google Scholar 

  12. Tashjian RZ, Wolf JM, Ritter M, Weiss AP, Green A (2006) Functional outcomes and general health status after ulnohumeral arthroplasty for primary degenerative arthritis of the elbow. J Shoulder Elbow Surg 15(3):357–366

    Article  PubMed  Google Scholar 

  13. Allen DM, Devries JP, Nunley JA (2004) Ulnohumeral arthroplasty. Iowa Orthop J 24:49–52

    PubMed Central  PubMed  Google Scholar 

  14. Jenkins PJ, Watts AC, Norwood T, Duckworth AD, Rymaszewski LA, McEachan JE (2013) Total elbow replacement: outcome of 1,146 arthroplasties from the Scottish arthroplasty project. Acta Orthop 84(2):119–123

    Article  PubMed Central  PubMed  Google Scholar 

  15. Naqui SZ, Rajpura A, Nuttall D, Prasad P, Trail IA (2010) Early results of the Acclaim total elbow replacement in patients with primary osteoarthritis. J Bone Joint Surg Br 92(5):668–671

    Article  CAS  PubMed  Google Scholar 

  16. Maheshwari R, Vaziri S, Helm RH (2012) Total elbow replacement with the Coonrad–Morrey prosthesis: our medium to long-term results. Ann R Coll Surg Engl 94(3):189–192

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  17. Elnikety S, Singh BI, Kamal T, El-Husseiny M, Brooks CH, Wetherell RG (2012) Medium term results of total elbow replacement—a district general hospital experience. J Bone Joint Surg Br 94-B(SUPP XVI):7

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The authors declare that they have no competing interests.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Our Lady’s Hospital, Navan, County Meath, Ireland

    Pradyumna Raval, Prasad Ellanti & Paul Harrington

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  1. Pradyumna Raval
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  2. Prasad Ellanti
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  3. Paul Harrington
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Correspondence to Pradyumna Raval.

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Raval, P., Ellanti, P. & Harrington, P. Ulnohumeral debridement arthroplasty: a retrospective study and midterm outcome results. Eur J Orthop Surg Traumatol 25, 847–850 (2015). https://doi.org/10.1007/s00590-015-1593-6

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  • DOI: https://doi.org/10.1007/s00590-015-1593-6

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