The anterior approach for osteoarthritis of the elbow.

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概要

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• For osteoarthritis of the elbow, Kashiwagi-Outerbridge arthroplasty has been mainly employed at the Nagasaki University Hospital. This procedure however has several problems. The soft tissue in the anterior component cause flexion contracture and cannot be treated, also the osteophyte and loosebodies in the anterior parts cannot be eliminated completely, because its approach is a posterior one. Therefore, the anterior approach has been most often employed recently. In this paper, surgical techniques, results and indications are discussed. This procedure was employed in 5 elbows of 5 patients who had limitation of elbow flexion as a result of osteophytes of the coronoid process and loosebodies in the anterior parts. In two cases where they also involved the posterior element, an opening in the coronoid fossa was added. All patients were male and their ages averaged 39.4 years (range, 35 to 44 years). Preoperative range of motion, 99 degrees in flexion and -16 degrees in extension changed to 137 degrees in flexion and -5 degrees in extension on average following suvgery. Pain was eliminated in 4 cases and decreased in one case. Although there are some misgivings about using the anterior approach for the elbow, mainly because of possible injury to the nerve and vessels, such serious complications were not experienced in this series. The anterior approach for osteoarthritis of the elbow has many benefits, so this procedure is recommended.

• 西日本整形・災害外科学会の論文

著者

• 山田 正幸

  長崎大学医学部整形外科学教室

• 鈴木 良平

  長崎大学医学部整形外科

• 近藤 正行

  長崎大学医学部整形外科

• 伊藤 信之

  長崎大学医学部 整形外科

• 小野 哲生

  長崎大学医学部整形外科

• 本多 重信

  長崎三菱病院整形外科

• 河本 定尚

  長崎大学医学部整形外科

• 山田 正幸

  長崎大学医学部整形外科

• 鈴木 良平

  長崎大学医学部 整形外科

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