Open debridement and radiocapitellar replacement in primary and post-traumatic arthritis of the elbow: A multicenter study

Giuseppe Giannicola, Renzo Angeloni, Alberto Mantovani, Enrico Rebuzzi, Giovanni Merolla, Alessandro Greco, Federico M. Sacchetti, Italo Nofroni, Gianluca Cinotti, Franco Postacchini

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Abstract

Background: Postmortem and clinical studies have shown an early and prevalent involvement of the radiohumeral joint in primary and secondary arthritis of the elbow. The lateral resurfacing elbow (LRE) prosthesis has recently been developed for the treatment of lateral elbow arthritis. However, few data have been published on LRE results. Materials and methods: A prospective multicenter study was designed to assess LRE preliminary results. There were 20 patients (average age, 55 years). Preoperative diagnosis were primary osteoarthritis in 11 and post-traumatic osteoarthritis in 9. All patients underwent open debridement and LRE prosthesis. Patients were evaluated preoperatively and postoperatively with the Mayo Elbow Performance Score (MEPS), modified American Shoulder Elbow Surgeons (m-ASES) elbow assessment, and the Quick Disabilities of the Arm, Shoulder and Hand (Quick-DASH). Mean follow-up was 22.6 months. Results: At the last follow-up, the mean improvement of MEPS and m-ASES was 35 (P = .001) and 34 (P = .001) respectively; the average Quick DASH decreased by 29 (P = .001). Average range of motion was improved by 35° (P = .001). MEPI results were excellent in 12 patients, good in 2, and fair and poor in 3 each. Mild overstuffing was observed in 5 patients, and an implant malpositioning in 3. The implant survival rate was 100%. Conclusion: LRE showed promising results in this prospective investigation. Most patients had an uneventful postoperative course and have shown a painless elbow joint, with satisfactory functional recovery at short-term follow-up. Further studies with longer follow-up are warranted. evel of evidence: Level IV, Case Series, Treatment Study.

Original languageEnglish
Pages (from-to)456-463
Number of pages8
JournalJournal of Shoulder and Elbow Surgery
Volume21
Issue number4
DOIs
Publication statusPublished - Apr 2012

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Keywords

  • Arthritis
  • Elbow
  • Lateral resurfacing
  • Osteoarthritis
  • Radio-capitellar
  • Replacement

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Giannicola, G., Angeloni, R., Mantovani, A., Rebuzzi, E., Merolla, G., Greco, A., Sacchetti, F. M., Nofroni, I., Cinotti, G., & Postacchini, F. (2012). Open debridement and radiocapitellar replacement in primary and post-traumatic arthritis of the elbow: A multicenter study. Journal of Shoulder and Elbow Surgery, 21(4), 456-463. https://doi.org/10.1016/j.jse.2011.08.071