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KMID : 0828620060100020178
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Journal of Korean Arthroscopy Society
2006 Volume.10 No. 2 p.178 ~ p.183
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Operative Treatment for Degenerative Arthritis of Elbow -Arthroscopic surgery with traction in Lateral positon-
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Byun Jae-Yong
Kim Bo-Hyeon
Kang Shin-Taek
Whang Chan-Ha
Kim Jung-Man
Kim Hyung-Jun
Lee Dong-Yeob
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Abstract
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Purpose:We reported the results and efficiency of arthroscopic treatment in a state of the lateral traction about the degenerative arthris of elbow.
Materials and Methods:Twenty one elbows with the degenerative arthritis who were followed up for at 12 months were enrolled in this study. Male were 15 cases, female were 6 cases, the mean age was 47 years and right dominant hand was 14 cases. In all cases, during arthroscopic treatament under the traction of 10 pounds, we had done synovectomy, excision of loose body and anteroposterior spur. After operation, immobilization was done in the full extension state, and then continuous passive motion (CPM) was started two day.
Results:The average preoperative ROM of the elbow joint was 30~115 degree and the average postoperative ROM of the elbow joint was 5~130 degree. The increasement of ROM was totally 41 degree in extension 25 degree and flexion 16 degree. The decrement of VAS in pain was from 7.5 into 2.3 and the increasement of the satisfactory function was from 1.8 into 9.0. Complication was in two cases. One was paresthesia of ulnar nerve, but resolved. The other was bullae formation around the elbow joint, but cured.
Conclusions:Regarding degenerative arthritis of elbow, arthroscopic treatment showed excellent result in recovery of range of motion and relief of pain. We could obtain good visual field with distraction in lateral position.
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KEYWORD
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Elbow, Degenerative arthritis, Lateral position, Traction, Arthroscopic surgery
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