![](/images/graphics-bg.png)
A Literature Synthesis Indicates Very Low Quality, but Consistent Evidence of Improvements in Function after Surgical Interventions for Primary Osteoarthritis of the Elbow
Joint Authors
MacDermid, Joy C.
Vincent, Joshua I.
Vandervoort, Anthony A.
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-01-31
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Background.
Primary osteoarthritis of the elbow is a debilitating disease with an overall incidence of about 2%.
Pain and reduced motion (ROM) lead to disability and loss of functional independence.
Purpose.
To critically review the literature on patient-related important functional outcomes (pain, ROMs and functional recovery) after surgery for primary OA of the elbow, utilizing the 2011 OCEBM levels of evidence.
Design.
A literature synthesis.
Results.
Twenty-six articles satisfied the inclusion and exclusion criteria; 25 of the studies were at level IV evidence, and 1 at level III.
All three surgical techniques led to improvement in pain, ROM, and functional recovery in the short- and medium-term follow-up.
Long-term follow-up results, available only for open joint debridement, showed recurrence of osteoarthritic signs on X-ray with minimal loss of motion.
Recently, there seems to be an increased focus on arthroscopic debridement.
Conclusion.
The quality of research addressing surgical interventions is very low, including total elbow arthroplasty (TEA).
However, the evidence concurs that open and arthroscopic joint debridement can improve function in patients with moderate-to-severe OA of the elbow.
TEA is reserved for treating severe joint destruction, mostly for elderly individuals with low physical demands when other intervention options have failed.
American Psychological Association (APA)
Vincent, Joshua I.& Vandervoort, Anthony A.& MacDermid, Joy C.. 2013. A Literature Synthesis Indicates Very Low Quality, but Consistent Evidence of Improvements in Function after Surgical Interventions for Primary Osteoarthritis of the Elbow. Arthritis،Vol. 2013, no. 2013, pp.1-11.
https://search.emarefa.net/detail/BIM-475602
Modern Language Association (MLA)
Vincent, Joshua I.…[et al.]. A Literature Synthesis Indicates Very Low Quality, but Consistent Evidence of Improvements in Function after Surgical Interventions for Primary Osteoarthritis of the Elbow. Arthritis No. 2013 (2013), pp.1-11.
https://search.emarefa.net/detail/BIM-475602
American Medical Association (AMA)
Vincent, Joshua I.& Vandervoort, Anthony A.& MacDermid, Joy C.. A Literature Synthesis Indicates Very Low Quality, but Consistent Evidence of Improvements in Function after Surgical Interventions for Primary Osteoarthritis of the Elbow. Arthritis. 2013. Vol. 2013, no. 2013, pp.1-11.
https://search.emarefa.net/detail/BIM-475602
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-475602