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Open and
arthroscopic debridement procedures significantly improve pain and functional
outcomes, therefore should be preferred in management of patients with
OA of the
elbow.
According to a recent narrative review published in the BMC Musculoskeletal Disorders, osteoarthritis of the elbow can be effectively and safely treated with the open and arthroscopic debridement procedures.
Elbow OA is considered as one of the major disabling infirmity due to severe pain and loss of function. Open and arthroscopic debridement is the favoured approach to manage this critical condition, but no consent is available to define which therapy is befitted to which class of patient or stage of the elbow OA. Therefore, researchers conducted this narrative review to understand elbow OA treatment prospects and related outcomes more comprehensively to implement a better treatment strategy. EMBASE, Google Scholar, PubMed, and Cochrane Library were searched for all potential studies with a set of inclusion and exclusion criteria using keywords like the elbow, open arthroscopy, osteoarthritis, debridement or ulnohumeral arthroplasty.
The analysis
involved 229 studies. A total of 21 articles issued within 1994 and 2016 met
the inclusion and exclusion criteria comprising 639 patients (651 elbows). The
patients with open and arthroscopic procedure shows 31 and 26.8 Mayo elbow
performance score/index (MEPS/MEPI), 37 and 18 total complication rate, and
28.6°, and 23.3° mean postoperative improvement, respectively. Because of the
poor orthopaedics literature, this narrative review was not able to present
which surgical approach is preferred over other, but the findings signify that
both the open and arthroscopic debridement procedures are reliable and
efficient for elbow OA treatment.
BMC Musculoskeletal Disorders
Treatment of osteoarthritis of the elbow with open or arthroscopic debridement: a narrative review.
Keshav Poonit et al.
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