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<h4>HYPOTHESIS:<p>Arthroscopic osteocapsular arthroplasty for stage III osteoarthritis (advanced stage) shows worse clinical and radiologic outcomes compared with stage I or II according to computed tomography (CT)-based classification.</p><h4>METHODS:</h4><p>Clinical and radiologic outcomes in 65 patients treated with arthroscopic osteocapsular arthroplasty were retrospectively analyzed for range of motion (ROM) arc, functional score (Mayo Elbow Performance Score [MEPS]), and pain score (visual analog scale [VAS]). Patients were classified into stage I or II (n = 44) and stage III (n = 21) groups according to CT-based classification, and postoperative clinical outcomes and complications were analyzed.</p><h4>RESULTS:</h4><p>Mean follow-up duration was 32.9 &Acirc;&plusmn; 13.7 months (range, 24-69). The average patient age&Acirc;&nbsp;was 52 &Acirc;&plusmn; 10 years (range, 40-63). Improvements from preoperative to final follow-up were seen in the overall ROM-flexion from 94&Acirc;&deg; &Acirc;&plusmn; 19&Acirc;&deg; to 129&Acirc;&deg; &Acirc;&plusmn; 14&Acirc;&deg; (P &lt; .01), ROM-extension from 25&Acirc;&deg; &Acirc;&plusmn; 12&Acirc;&deg; to 14&Acirc;&deg; &Acirc;&plusmn; 7&Acirc;&deg; (P&Acirc;&nbsp;&lt; .01), MEPS from 45 &Acirc;&plusmn; 13 to 78 &Acirc;&plusmn; 14 (P &lt; .01), and VAS score from 6.3 &Acirc;&plusmn; 1.6 to 3.1 &Acirc;&plusmn; 1.4 (P &lt; .01). Subgroup analysis using the CT-based classification revealed that stage III led to worsened VAS score and MEPS than stage I or II.</p><h4>CONCLUSIONS:</h4><p>Arthroscopic osteocapsular arthroplasty can be recommended for its favorable overall treatment outcomes for elbow osteoarthritis. However, stage III shows worse clinical and radiologic outcomes compared with stage I or II according to CT-based classification.</p><div class="cit"><span role="menubar"><a title="Journal of shoulder and elbow surgery." role="menuitem" href="https://www.ncbi.nlm.nih.gov/pubmed/31831280#" aria-expanded="false" aria-haspopup="true">J Shoulder Elbow Surg.</a></span>&Acirc;&nbsp;2019 Dec 9. pii: S1058-2746(19)30663-9. doi: 10.1016/j.jse.2019.09.036. [Epub ahead of print]</div></h4>


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Arthroscopic Osteocapsular Arthroplasty for Advanced-stage Primary Osteoarthritis of the Elbow Using a Computed Tomography-based Classification

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