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Arthroscopic and open debridement in primary elbow osteoarthritis: a systematic review and meta-analysis.

Authors :
de Klerk HH
Welsink CL
Spaans AJ
Verweij LPE
van den Bekerom MPJ
Source :
EFORT open reviews [EFORT Open Rev] 2020 Dec 04; Vol. 5 (12), pp. 874-882. Date of Electronic Publication: 2020 Dec 04 (Print Publication: 2020).
Publication Year :
2020

Abstract

Primary osteoarthritis (OA) of the elbow can cause disabling symptoms of pain, locking, stiffness, and a limitation in the range of motion. There is no consensus regarding the role of open and arthroscopic debridement in the treatment of symptomatic primary elbow OA. The aim of this study is to systematically review the outcome of surgical debridement. A preoperative/postoperative comparison will be made between the two surgical procedures.All studies reporting on debridement as treatment for primary elbow OA with a minimum of one-year follow-up were included. Outcome parameters were functional results, complications, and performance scores.Data were extracted from 21 articles. The arthroscopic group consisted of 286 elbows with a weighted mean follow-up of 40 ± 17 months (range, 16-75). The open group consisted of 300 elbows with a weighted mean follow-up of 55 ± 20 months (range, 19-85). Both procedures showed improvement in Mayo Elbow Performance Score (MEPS), range of motion (ROM) flexion-extension, and ROM pronation-supination. Only in ROM flexion was a statistically significant difference in improvement seen between the groups in favour of the open group. The arthroscopic group showed improvement in pain visual analogue scale (VAS) scores. Nothing could be stated about pain VAS scores in the open group due to a lack of data. In the arthroscopic group 18 complications (6%) were described, in the open group 29 complications (12%).Surgical debridement is an effective treatment for the disabling symptoms of primary elbow OA with an acceptable complication rate. Cite this article: EFORT Open Rev 2020;5:874-882. DOI: 10.1302/2058-5241.5.190095.<br />Competing Interests: ICMJE Conflict of interest statement: AJS reports employment by St Maartenskliniek, The Netherlands. The other authors declare no conflict of interest relevant to this work.<br /> (© 2020 The author(s).)

Details

Language :
English
ISSN :
2058-5241
Volume :
5
Issue :
12
Database :
MEDLINE
Journal :
EFORT open reviews
Publication Type :
Academic Journal
Accession number :
33425376
Full Text :
https://doi.org/10.1302/2058-5241.5.190095