Evidence map›Paper›PMID 25957550›Full record

ArticleMusculoskeletal surgery2015

Arthroscopic joint debridement and capsular release in primary and post-traumatic elbow osteoarthritis: a retrospective blinded cohort study with minimum 24-month follow-up.

G Merolla, C Buononato, C Chillemi, P Paladini, G Porcellini

Registry-linked trialOpen access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Musculoskeletal surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05415592 (A Multi-Center, Post-Market, Single-Arm, Observational Clinical Follow-Up Study of Patients Undergoing Radial Head Replacement Using the DePuy Synthes Radial Head Replacement System for Partial Replacement of the Elbow Joint), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05415592 withdrawnnot on this mapstarted 2023, after this paper: background citation

A Multi-Center, Post-Market, Single-Arm, Observational Clinical Follow-Up Study of Patients Undergoing Radial Head Replacement Using the DePuy Synthes Radial Head Replacement System for Partial Replacement of the Elbow Joint

TypeobservationalSponsorDePuy Synthes Products, Inc.Ran2023 to 2030Enrolled0ConditionsRadial Head FracturesArmsDePuy Synthes Radial Head Replacement System
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Primary Elbow Osteoarthritis: Evaluation and Management.Journal of clinical orthopaedics and trauma · 2021
    Article
  9. Review
  10. Article
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

G MerollaUnit of Shoulder and Elbow Surgery, "D. Cervesi" Hospital, Cattolica - AUSL della Romagna Ambito Territoriale di Rimini, 47841, Cattolica, Italy. giovannimerolla@hotmail.com.
C BuononatoUnit of Shoulder and Elbow Surgery, "D. Cervesi" Hospital, Cattolica - AUSL della Romagna Ambito Territoriale di Rimini, 47841, Cattolica, Italy.
C ChillemiDepartment of Orthopedics and Traumatology, Istituto Chirurgico Ortopedico Traumatologico (ICOT), Latina, Italy.
P PaladiniUnit of Shoulder and Elbow Surgery, "D. Cervesi" Hospital, Cattolica - AUSL della Romagna Ambito Territoriale di Rimini, 47841, Cattolica, Italy.
G PorcelliniUnit of Shoulder and Elbow Surgery, "D. Cervesi" Hospital, Cattolica - AUSL della Romagna Ambito Territoriale di Rimini, 47841, Cattolica, Italy.
Ospedale Cervesi di Cattolica · ITIstituto Ortopedico Rizzoli · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElbow osteoarthritis (OA) is a degenerative condition which in the advanced stage can severely impair joint mobility. Conservative treatment remains the first choice; surgery should be considered in case of failure in patients prepared to adhere to a demanding rehabilitation protocol. We assess the effectiveness of arthroscopic joint debridement and capsular release in a series of patients with primary and post-traumatic elbow arthritis. MATERIALS AND

methodsForty-eight subjects (40 males, eight females; mean age 48 years) with a preoperative diagnosis of primary (19, 40 %) or post-traumatic OA (29, 60 %) were evaluated at a mean follow-up of 44 months. Outcome measures were active range of motion (ROM), pain score, Oxford elbow score (OES), and Mayo elbow performance score (MEPS). OA severity was graded into three classes (I-III) based on X-ray findings. Statistical significance was set at 5 %.

resultsAt the final follow-up evaluation, active flexion/extension increased significantly (p < 0.01); pronation and supination improved, but the difference was not significant (p > 0.05). The pain score improved from 7.2 to 4.3 (p < 0.01). Both OES and MEPS improved significantly (p < 0.001). Patients with post-traumatic OA had better ROM (p = 0.0391) and clinical scores (OES, p = 0.011; MEPS, p = 0.010). ROM and clinical scores were lower but not significantly so in class II than in class I patients. A smooth coronoid and olecranon fossa was found in 38 (79 %) patients and a preserved ulnotrochlear joint space in 40 (80 %).

conclusionsElbow OA has become more common as a result of earlier diagnosis and an increased number of acute injuries involving the joint. Arthroscopy is an effective technique to treat OA which provides the best results with the correct indications. Prospective studies are needed to help develop guidelines enabling selection of the best treatment option.

Indexed as

ArthroscopyDebridementElbowElbow InjuriesElbow JointFemaleFollow-Up StudiesHumansMaleMiddle AgedOsteoarthritisRadiographyRange of Motion, ArticularTime FactorsArthroscopyDebridementElbowOsteoarthritis

Identifiers

PMID25957550
OpenAlexW566418569

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.