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Related Experiment Videos

Surgical options for the arthritic elbow.

Robert A Gallo1, Alexander Payatakes, Dean G Sotereanos

  • 1Shoulder and Sports Medicine Service, Hospital for Special Surgery, New York, NY 10021, USA. august_gallo@yahoo.com

The Journal of Hand Surgery
|July 2, 2008
PubMed
Summary

Surgical treatment for elbow arthritis depends on the cause, severity, and patient age. Options range from debridement for mild cases to joint replacement or fusion for severe or salvage situations.

Related Concept Videos

Bones of the Upper Limb: Humerus01:19

Bones of the Upper Limb: Humerus

The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...

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Area of Science:

  • Orthopedic Surgery
  • Rheumatology
  • Reconstructive Surgery

Background:

  • Elbow arthritis presents as pain and stiffness, significantly impacting quality of life.
  • Treatment decisions for elbow arthritis are complex and multifactorial.

Purpose of the Study:

  • To outline current surgical treatment strategies for elbow arthritis.
  • To correlate surgical interventions with specific etiologies, disease severity, and patient demographics.

Main Methods:

  • Review of surgical interventions for various elbow arthritis types.
  • Categorization of treatments based on disease etiology (rheumatoid, posttraumatic, osteoarthritis).
  • Consideration of patient factors: age, functional demands, and disease severity.

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Main Results:

  • Arthroscopic debridement and synovectomy are effective for mild to moderate rheumatoid elbow arthritis.
  • Capsular release and ulnohumeral arthroplasty address early posttraumatic arthritis and osteoarthritis.
  • Total elbow replacement suits elderly, low-demand patients with rheumatoid arthritis.
  • Interpositional arthroplasty is indicated for younger, high-demand patients with posttraumatic or osteoarthritic elbows.
  • Total elbow allografts and arthrodesis are reserved for salvage scenarios.

Conclusions:

  • Surgical management of elbow arthritis requires tailored approaches based on individual patient and disease characteristics.
  • A spectrum of surgical options exists, from minimally invasive procedures to complex reconstructive techniques.
  • Optimizing outcomes in elbow arthritis necessitates careful consideration of etiology, severity, and patient-specific functional needs.