Aminata Iman W, Aprilya Dina, Kholinne Erica, Mangasah Holong, Lee Jansen
Department of Orthopedic and Traumatology, Fatmawati General Hospital, Jakarta, Indonesia.
Faculty of Medicine, Universitas Trisakti, Department of Orthopedic Surgery, St. Carolus Hospital, Jakarta, Indonesia.
J Hand Surg Glob Online. 2024 May 28;6(4):571-576. doi: 10.1016/j.jhsg.2024.05.002. eCollection 2024 Jul.
Elbow osteoarthritis is a debilitating disease for patients. Surgical options are to be considered when conservative management becomes unsatisfactory. Total elbow arthroplasty is an effective surgical option for patients older than 65 years and those with a sedentary lifestyle. Meanwhile, interposition elbow arthroplasty is suitable for young, high-demand patients. The retrospective study aimed to evaluate the surgical outcomes of interposition elbow arthroplasty for elbow osteoarthritis.
Eight patients who underwent interposition elbow arthroplasty from 2018 to 2020 in our center were retrospectively reviewed. Interposition elbow arthroplasty was performed using fascia lata autografts. Mayo elbow performance score; disability of arm, shoulder, and hand scores; and range of motion were evaluated and compared with that of the preoperative state.
The mean Mayo elbow performance score significantly improved from 53.7 ± 14.6 (before surgery) to 85.6 ± 12.1 (after surgery). The mean disability of arm, shoulder, and hand score also significantly improved from 93.1 ± 11.8 (before surgery) to 57.5 ± 15.9 (after surgery). The mean arc of motion increased by 85.8°, from a mean before surgery value of 6.2° ± 5.8° to 92.0° ± 34.0° after surgery. Satisfaction rate was 92.5%.
Interposition elbow arthroplasty is a nonprosthetic reconstruction that respects the joint and does not burn any bridge for further total elbow arthroplasty if needed. It provides favorable surgical outcomes with high satisfaction rates among young patients with elbow osteoarthritis.
TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.
肘关节骨关节炎对患者而言是一种使人衰弱的疾病。当保守治疗效果不佳时，应考虑手术治疗方案。全肘关节置换术是65岁以上及久坐不动生活方式患者的有效手术选择。同时，间置式肘关节置换术适用于年轻、需求高的患者。这项回顾性研究旨在评估间置式肘关节置换术治疗肘关节骨关节炎的手术效果。
回顾性分析2018年至2020年在本中心接受间置式肘关节置换术的8例患者。采用自体阔筋膜进行间置式肘关节置换术。评估梅奥肘关节功能评分、上肢、肩部和手部功能障碍评分以及活动范围，并与术前状态进行比较。
梅奥肘关节功能评分平均值从术前的53.7±14.6显著提高到术后的85.6±12.1。上肢、肩部和手部功能障碍评分平均值也从术前的93.1±11.8显著提高到术后的57.5±15.9。平均活动弧度增加了85.8°，从术前的平均值6.2°±5.8°增加到术后的92.0°±34.0°。满意率为92.5%。
间置式肘关节置换术是一种保留关节的非假体重建方法，如有需要，不会为进一步的全肘关节置换术设置障碍。它为年轻的肘关节骨关节炎患者提供了良好的手术效果和高满意率。
研究类型/证据水平：治疗性IV级。
