DeGreef Ilse, Samorjai Nicolaas, De Smet Luc
Department of Orthopaedic Surgery, Upper Limb Surgery, Leuven University Hospital, Pellenberg, Belgium.
Acta Orthop Belg. 2010 Aug;76(4):468-71.
We evaluated the results of the arthroscopic Outerbridge-Kashiwaghi procedure in a retrospective review of 20 elbows in 19 patients with a mean followup of 2 years (range : 6 months - 4 years). Range of motion improved from 94 degrees (range: 15 degrees-140 degrees) to 123 degrees (range: 110 degrees-140 degrees). Visual analogue scales for pain improved from 5.8 (range: 2 -8) to 1.8 (range: 0-8). The Mayo Performance Index increased from 54 (range: 15-85) to 88 (range: 45-100). The results were good to excellent in 16 elbows, fair in two and poor in two. Seventeen patients were better (85%), 3patients remained unchanged (15%). In elbows with severe arthritis, pain relief was minimal. The arthroscopic Outerbridge-Kashiwaghi procedure appeared in this study as a good surgical option in mild to moderate elbow arthritis, with significant pain relief and increased elbow mobility and function.
我们对19例患者的20个肘部进行了关节镜下Outerbridge-Kashiwaghi手术的回顾性评估，平均随访2年（范围：6个月至4年）。活动范围从94度（范围：15度至140度）改善至123度（范围：110度至140度）。疼痛视觉模拟量表评分从5.8（范围：2至8）改善至1.8（范围：0至8）。梅奥功能指数从54（范围：15至85）提高至88（范围：45至100）。16个肘部的结果为优至良，2个为中，2个为差。17例患者情况改善（85%），3例患者情况未变（15%）。在患有严重关节炎的肘部，疼痛缓解甚微。在本研究中，关节镜下Outerbridge-Kashiwaghi手术似乎是治疗轻至中度肘部关节炎的良好手术选择，可显著缓解疼痛并增加肘部活动度和功能。
