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The Outerbridge-Kashiwaghi procedure in elbow arthroscopy
Ilse DeGreef1, Nicolaas Samorjai, Luc De Smet
1Department of Orthopaedic Surgery, Upper Limb Surgery, Leuven University Hospital, Pellenberg, Belgium. Ilse.degreef@uz.kuleuven.ac.be
Acta Orthopaedica Belgica
|October 27, 2010
Summary
The arthroscopic Outerbridge-Kashiwaghi procedure improved elbow range of motion and function in patients with mild to moderate arthritis. This surgical option provided significant pain relief and enhanced mobility for most patients.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
Background:
- Elbow arthritis significantly impacts patient quality of life.
- Current treatment options for elbow arthritis have limitations.
Purpose of the Study:
- To evaluate the efficacy of the arthroscopic Outerbridge-Kashiwaghi procedure for elbow arthritis.
- To assess improvements in range of motion, pain, and functional outcomes.
Main Methods:
- Retrospective review of 20 arthroscopic Outerbridge-Kashiwaghi procedures in 19 patients.
- Mean follow-up of 2 years.
- Assessment of range of motion, Visual Analogue Scale for pain, and Mayo Performance Index.
Main Results:
- Elbow range of motion improved from 94 to 123 degrees.
- Visual Analogue Scale for pain decreased from 5.8 to 1.8.
- Mayo Performance Index increased from 54 to 88, with 85% of patients reporting improvement.
- Good to excellent outcomes were observed in 16 elbows.
Conclusions:
- The arthroscopic Outerbridge-Kashiwaghi procedure is a viable surgical option for mild to moderate elbow arthritis.
- The procedure leads to significant improvements in pain, mobility, and function.
- Outcomes in severe arthritis cases were less favorable, suggesting patient selection is important.