Elbow osteoarthritis: Prognostic indicators in ulnohumeral debridement—The Outerbridge-Kashiwagi procedure

• Published in: Journal of shoulder and elbow surgery Vol. 10; no. 6; pp. 557 - 560
• Main Authors: Forster, M.C., Clark, D.I., Lunn, P.G.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-11-2001
• Subjects: Adult; Aged; Aged, 80 and over; Debridement - methods; Elbow Joint - surgery; Female; Humans; Humerus - physiopathology; Humerus - surgery; Male; Middle Aged; Orthopedic Procedures - methods; Osteoarthritis - diagnostic imaging; Osteoarthritis - surgery; Pain Measurement; Probability; Prognosis; Radiography; Range of Motion, Articular - physiology; Recovery of Function; Retrospective Studies; Sampling Studies; Sensitivity and Specificity; Severity of Illness Index; Statistics, Nonparametric; Treatment Outcome; Ulna - physiopathology; Ulna - surgery
• ISSN: 1058-2746; 1532-6500
• DOI: 10.1067/mse.2001.118416

A consecutive series of 43 patients (44 elbows) underwent ulnohumeral debridement for elbow osteoarthritis. Thirty-five patients (36 elbows) were reviewed after a mean follow-up of 39 months. Eighty-one percent of patients were satisfied, with 12 good, 19 fair, and 5 poor outcomes. The mean flexion/extension arc, pain score, and locking were all significantly improved, but a significant number of patients had rest pain. Patients who had symptoms for less than 2 years, considerable preoperative pain, or cubital tunnel syndrome had a significantly increased chance of a good outcome. The absence of preoperative locking was associated with a significantly increased chance of a poor outcome. A history of trauma, preoperative range of movement, and radiograph score did not predict outcome. (J Shoulder Elbow Surg 2001;10:557-60.)