alexa Long-term Results of Ulnohumeral Arthroplasty for Symptomatic Elbow Osteoarthritis
ISSN: 2167-7921

Journal of Arthritis
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Research Article

Long-term Results of Ulnohumeral Arthroplasty for Symptomatic Elbow Osteoarthritis

Shingo Nobuta1*, Katsumi Sato2 and Eiji Itoi2
1Department of Orthopaedic Surgery, Tohoku Rosai Hospital, Sendai, Japan
2Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan
*Corresponding Author : Shingo Nobuta
Department of Orthopaedic Surgery, Tohoku Rosai Hospital
4-3-21, Dainohara, Aoba-ku, Sendai, Miyagi 981-8563, Japan
Tel: +81-22-275-1111
Fax: +81-22-275-7541
E-mail: [email protected]
Received: March 14, 2016; Accepted: April 07, 2016; Published: April 16, 2016
Citation: Nobuta S, Sato K, Itoi E (2016) Long-term Results of Ulnohumeral Arthroplasty for Symptomatic Elbow Osteoarthritis. J Arthritis 5:196. doi:10.4172/2167-7921.1000196
Copyright: © 2016 Nobuta S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Objective: Symptomatic elbow osteoarthritis with painful limitation of motion requires surgical treatment. The purpose of this retrospective study was to assess the long-term results of open ulnohumeral arthroplasty (UHA) and to investigate the factors influencing results.

Methods: Twenty-two elbows from 20 patients were evaluated after a mean follow-up of 82 months. The patients included 19 men and a woman with a mean age of 56 years. All patients had been complaining of motion pain and loss of flexion-extension arc of the elbow before surgery. The preoperative radiographs were graded with a point system, and preoperative evaluations and the outcomes at follow-up were assessed using the Mayo Elbow Performance Score (MEPS).

Results: At the final follow-up evaluation, ten elbows had no motion pain and 11 others had decreased pain. The average preoperative flexion-extension arc improved from 89 to 104 postoperatively (p<0.001). MEPS improved from 69 to 85 (p<0.001). The results were excellent in 10 elbows, good in 10, fair in two and there were no poor cases. Patients’ satisfaction showed that 17 elbows had a satisfactory result, and 5 had an unsatisfactory result. The preoperative radiographic score and flexion-extension arc were factors for predicting postoperative results.

Conclusions: The UHA was effective in reducing pain and increasing the range of motion for symptomatic elbow osteoarthritis after a mean follow-up of 82 months.

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