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KMID : 0858320090120010067
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Journal of the Korean Shoulder Elbow Society
2009 Volume.12 No. 1 p.67 ~ p.75
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Debridement Arthroplasty using Posteromedial Approach in Elbow Joint with Pain and Bony Limitation of Motion
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Cheon Sang-Jin
Suh Jeung-Tak
Kim Hui-Taek
Lee Dong-Ho
Cha Seung-Han
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Abstract
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Purpose: This study evaluated the clinical outcomes of debridement arthroplasty using the posteromedial approach in elbow joints with pain and bony limitation of motion.
Materials and Methods : This study involved 16 elbows in 16 patients with pain and bony limitation of motion, which were treated by debridement arthroplasty using the posteromedial approach from March 2005 to March 2008. The mean follow up period was 27.6 (13~52) months. The clinical outcomes were analyzed using the Visual Analogue Scale(VAS) for pain scale, the preoperative and postoperative range of motion and the Mayo Elbow Performance Scores(MEPS).
Results: The VAS was decreased significantly from a preoperative mean of 4.5 to a postoperative mean 1.1 (p<0.001). The average arc of motion improved significantly from 61.6 (0~90)˚ preoperatively to 109.4 (80-120)˚ postoperatively (p<0.001). The MEPS also improved significantly from 59.4 to 85.6 postoperatively (p<0.001). There were no complications, such as hematoma and elbow instability.
Conclusion: Debridement arthroplasty using the posteromedial approach is a useful surgical procedure in the elbow joint with pain and bony limitation of motion, where all compartments can be debrided, the ulnar nerve can be manipulated easily and damage to the medial collateral ligament can be minimized.
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KEYWORD
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Elbow, Pain, Bony limitation of motion, Posteromedial approach, Debridement arthroplasty
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