Jerosch J, Schröder M, Schneider T
Orthopädische Klinik München Harlaching.
Z Orthop Ihre Grenzgeb. 1997 Sep-Oct;135(5):458-62. doi: 10.1055/s-2008-1039416.
The purpose of this study was to present our long-term experience in elbow arthroscopy with special regard to diagnosis specific results.
103 out of 121 patients after elbow arthroscopy were evaluated with a mean followed-up time of 6.2 years. The age of the patients at time of surgery ranged between 3 and 72 years. For documentation the Figgie-Score was used. The results were documented in relation to the patients pathology.
The total score improved significantly from 49.3 to 89.3 (p < 0.05). There was no age dependency of the results, but a correlation to the preoperative duration of symptoms and the individual job situation. Between the different score parameters pain showed the highest improvement. While patients with free bodies as well as bacterial or rheumatic arthritis had a more noticeable gain, the postoperative improvement for the patients with severe degenerative arthritis was only limited. Patients with unclear preoperative problems showed no improvement at all.
While patients with free joint bodies or synovitis without degenerative joint disease have a significant benefit from elbow arthroscopy, patient with severe degenerative joint disease or patients with restricted range of motion will hardly show any improvement after surgery.
本研究的目的是介绍我们在肘关节镜检查方面的长期经验，特别关注特定诊断结果。
对121例接受肘关节镜检查的患者中的103例进行评估，平均随访时间为6.2年。手术时患者的年龄在3岁至72岁之间。使用Figgie评分进行记录。结果根据患者的病理情况进行记录。
总分从49.3显著提高到89.3（p < 0.05）。结果不存在年龄依赖性，但与术前症状持续时间和个人工作情况相关。在不同的评分参数中，疼痛改善最为明显。虽然有游离体以及细菌性或风湿性关节炎的患者改善更为显著，但严重退行性关节炎患者术后的改善有限。术前问题不明确的患者根本没有改善。
虽然有游离关节体或无退行性关节疾病的滑膜炎患者从肘关节镜检查中获益显著，但严重退行性关节疾病患者或活动范围受限的患者术后几乎不会有任何改善。
