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Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition) ›› 2024, Vol. 10 ›› Issue (01): 57-64. doi: 10.3877/cma.j.issn.2096-0263.2024.01.010

• Review • Previous Articles    

Progress in surgical treatment of elbow osteoarthritis

Renjie Chen1, Yi Lu1,()   

  1. 1. Department of Sports medicine, Beijing Jishuitan Hospital, Capital Medical University, Beijing 100035, China
  • Received:2023-09-23 Online:2024-02-05 Published:2024-05-27
  • Contact: Yi Lu

Abstract:

Elbow osteoarthritis is a degenerative disease with pain and limited activity. It often occurs in manual workers. With the development of economy and the progress of society, more and more patients are suffering from elbow osteoarthritis. The cause is unknown and may be related to overuse of the elbow.The treatment of elbow osteoarthritis includes non-surgical treatment and surgical treatment. For patients with mild pain and limited joint movement, non-surgical treatment is the firstchoice, and for patients after ineffective standard non-surgical treatment or with more severe symptoms, surgical treatment should be considered. At present, there are many kinds of surgical methods used to treat this disease, the most common surgical methods including: open elbow arthroplasty, arthroscopic elbow arthroplasty, total elbow arthroplasty. In addition, a number of surgical procedures have also been used for the treatment of elbow osteoarthritis, including Outerbridge-Kashiwagi (O-K) surgery, elbow interposition plasty, radiocapitellar arthroplasty, and elbowhemiarthroplasty. Each surgical method has its own unique advantages in treating different types of elbow osteoarthritis. For example, incision elbow arthroplasty is more advantageous in improving elbow joint motion, while arthroscopic elbow arthroplasty has a lower incidence of postoperative complications. Elbow interposition arthroplasty is suitable for young elbow osteoarthritis patients. Radiocapitellar arthroplasty has unique advantages for elbow osteoarthritis that occurs in the humeroradial joint, so it is particularly important to choose the appropriate surgical method during treatment. Based on previous literature, this article reviews various surgical methods for the treatment of osteoarthritis of the elbow, discusses the indications and advan tages and disadvantages of various surgeries, in order to provide references for the selection of surgical treatment of the elbowosteoarthritis.

Key words: Elbow, Osteoarthritis, Surgical treatment, Arthroplasty

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