2017 ISAKOS Biennial Congress ePoster #405

 

Middle-Term Efficacy of Arthroscopic Debridement in the Treatment of Elbow Osteochondritis Dissecans

Yingchun Zhu, Ningbo CHINA
Ningbo hospital of Zhejiang University, Ningbo, Zhejiang, CHINA

FDA Status Not Applicable

Summary

Elbow arthroscopy was an effective tool for the management of of the elbow osteochondritis dissecans.It can yield satisfactory pain relief, significant increase in the range of motion, minor trauma,and quick recovery.

ePosters will be available shortly before Congress

Abstract

Objective

To explore the effect of arthroscopic debridement in the treatment of elbow osteochondritis dissecans. Methods 17 cases of elbow osteochondritis dissecans were treated with arthroscopic deridement from May 2011 to July 2014.There were 11 males and 6 females,aging from 15 to 35 years old. All of the 17 patients had complained of pain and 10 patients had mechanical symptoms, such as catching and locking. The patients positioned lateral under general anesthesia, midlateral(soft spot), proximal anterolateral, proximal anteromedial, straight posterior and post-lateral portals were given to explore and debride elbow joint,remove loose bodies and take microfracture procedure. ROM of the elbow and the Mayo elbow performance score before and after surgery were compared. Results All patients achieved healing by the first intention. 17 cases were followed up for 10 to 48months (mean 28.5months).15 elbows (88.2%)were not painful or were only mildly painful and two(11.8 %) were moderately painful. Mechanical Symptoms disappeared in all 10 patients. The angle of extention, the angle of flexion , the range of motion in the flexion-extension arc and MEPS was improved significantly (P<0.05) at the time of follow up, According to the Mayo elbow performance score, the result was excellent for 11 elbows , good for 3 elbows.The complications: transient injury of ulnar nerve in one case. Conclusion Elbow arthroscopy was an effective tool for the management of of the elbow osteochondritis dissecans.It can yield satisfactory pain relief, significant increase in the range of motion, minor trauma,and quick recovery.