Results of the Treatment of Patients With Elbow Osteoarthritis

Study Overview
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Brief Summary
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The study is a prospective case controlled clinical trial. The purpose of the study is to investigate the effect of elbow arthroscopy in the treatment for osteoarthritis of the elbow when compared to conservative treatment.

Detailed Description
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Patients will be recruited at departments of hand surgery and orthopedic surgery outpatient clinics. The control group will be patients to whom the conservative treatment continues. Patients who meet the inclusion criteria will be asked to participate and sign the informed consent. Therefore the investigators have two treatment groups: group 1 who receives an elbow joint debridement arthroscopically without physiotherapy and group 2 who receives only conservative treatment with physiotherapy.

Official Title
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Results of the Treatment of Patients With Elbow Osteoarthritis

Conditions
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Elbow Osteoarthritis

Intervention / Treatment
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* Procedure: Elbow arthroscopy
* Other: Conservative treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Symptomatic post-traumatic or primary osteoarthritis - mechanical locking and/or decreased range of motion ( >30°) Radiographic evidence of at least mild primary or post-traumatic osteoarthritis according to Broberg - Morrey classification symptoms lasting at least 6 months Patients willingness to participate the study All patients 18-80 ages Exclusion Criteria: Patients with previous severe soft tissue trauma at elbow region ( crush, burns etc - the elbow joint problems are not joint specific) Patients with crystal arthropathy or inflammatory arthritis Patient refuses to participate the study Patients with dementia or are institutionalized Patients with severe substance addiction Patient does not understand written and spoken guidance

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Operative treatment<br>Patients to whom the elbow arthroscopy will be performed. | Procedure: Elbow arthroscopy<br>* Arthroscopic debridement, osteophyte excision, loose body extirpation is carried on to patients.<br>|
| Other: Conservative treatment<br>Patients to whom special physiotherapy will be advised. | Other: Conservative treatment<br>* Physiotherapy protocol is introduced to patients.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quick DASH score |  | 24 Months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| VAS score |  | 24 Months | 
| Range of motion |  | 24 Months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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elbow arthroscopy, DASH, elbow locking, elbow osteoarthritis