Treatment of Elbow Osteoarthritis with Arthroscopic Debridement and Intra-Articular HA Injection
نویسندگان
چکیده
This study investigates efficacy of arthroscopic debridement with or without intra-articular hyaluronic acid (HA) injections for pain relief, ROM, and functional improvement in 30 elbows osteoarthritis - primary degenerative post-traumatic. were treated posttraumatic (n=12) (n=18) elbow by debridement. HA injection protocol was either preoperative (6 cases), postoperative (n=4), combined pre/post-operative (n=5) intraarticular (Synvisc) injections, additional Synvisc (n=9). A clinical examination Mayo performance score conducted at an average 15 months (range 12-18) post-operation. The results analyzed the Mann-Whitney Wilcoxon tests. Intra-articular cartilage changes observed to be mild fraying (n=7), significant / fibrilliation (n=9), fibrillation areas bare bone (n=14). treatment resulted statistically reduction both OA groups. Pain relief significantly better group exposed bony following alone, compared visible bone, (p = 0.005). In patients 0.039). MEPS improved points < 0.0001 test), p 0.008 0.0005 group. There greater HA, trend HA. Our findings reveal a toward symptomatic benefit when is osteoarthritic joints bone. detriment associated areas. support use combination earlier stages osteoarthritis, but not advanced cases
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ژورنال
عنوان ژورنال: Arthroscopy
سال: 2021
ISSN: ['1526-3231', '0749-8063']
DOI: https://doi.org/10.1016/j.arthro.2020.12.172