Isa Ahaoiza D, Athwal George S, King Graham J W, MacDermid Joy C, Faber Kenneth J
Roth McFarlane Hand and Upper Limb Centre, St Joseph's Health Care, London, ON, Canada.
Shoulder Elbow. 2018 Jul;10(3):223-231. doi: 10.1177/1758573217726429. Epub 2017 Aug 30.
Arthroscopic elbow debridement for primary osteoarthritis may be performed with or without a joint capsulectomy. The purpose of this comparative cohort study was to compare range of motion (ROM) and early complications between patients with and without anterior capsulectomy.
In total, 110 patients with primary osteoarthritis of the elbow who underwent an arthroscopic debridement for primary osteoarthritis were reviewed with a minimum of 3 months postoperative follow-up. The first group consisted of 51 patients who had a concomitant capsulectomy and the second group consisted of 59 patients who either had a capsulotomy or did not have the capsule addressed.
There was significantly greater pre-operative stiffness in the group who had an anterior capsulectomy versus those who did not. A greater improvement in arc of ROM occurred in patients who had a concomitant capsulectomy compared to patients without (24° versus 12°) (p < 0.003); however, there were no significant differences in final ROM between groups. There were no statistically significant differences in the incidence of complications between the groups (16% capsulectomy versus 18% no capsulectomy).
Elbow arthroscopy and debridement for primary elbow osteoarthritis yields satisfactory motion at short-term follow-up with or without a capsulectomy. The incidence of early complications was low at this tertiary referral centre, with no significant differences between groups.
原发性骨关节炎的关节镜下肘关节清创术可在有或无关节囊切除术的情况下进行。本比较队列研究的目的是比较行与不行前侧关节囊切除术患者的活动范围（ROM）和早期并发症。
总共110例因原发性骨关节炎接受关节镜下清创术的肘关节原发性骨关节炎患者接受了回顾，术后随访至少3个月。第一组由51例行关节囊切除术的患者组成，第二组由59例行关节囊切开术或未处理关节囊的患者组成。
行前侧关节囊切除术的组术前僵硬程度明显高于未行该手术的组。与未行关节囊切除术的患者相比，行关节囊切除术的患者ROM弧度改善更大（24°对12°）（p＜0.003）；然而，两组最终的ROM无显著差异。两组并发症发生率无统计学显著差异（关节囊切除术组为16%，未行关节囊切除术组为18%）。
对于原发性肘关节骨关节炎，无论是否行关节囊切除术，关节镜下肘关节清创术在短期随访中均可获得满意的活动度。在这个三级转诊中心，早期并发症发生率较低，两组之间无显著差异。
