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- W3030062370 abstract "Objective To evaluate the efficacy and safety of Five-Sequential-Portal Method which was designed by us in arthroscopy for elbow diseases. Methods From April 2004 to May 2007, 53 patients were treated for elbow diseases with an arthroscopic procedure in our hospital. The final diagnoses included 24 cases of elbow contracture, 15 elbow fracture, 7 loose body, 2 subluxation of capitulum radii, 8 tuberculous arthritis, 4 rheumatoid arthritis, 5 myositis ossificans, 3 pigmented villonodular synovitis and 1 synovial chondromatosis. We used self-designed Five-Sequential-Portal Method to establish the portals of elbow arthroscopy. The arthroscopy was inserted into the soft spot to make the first portal. The second portal was established anterolaterally under the arthroscopy in the first portal. The third portal was established an-teromedially through the second portal, passing the coronoid process, to make the incision of skin by the in-side-out technique. The forth and the fifth portals were established posterolaterally and postcromcdially on both sides of the triceps tendon. The joint was explored in sequence and an etiotropic procedure was taken. After surgery, rehabilitation exercises were performed under algesia controller. The Mayo elbow-performance indexes before and after surgery were compared. Results In this group, 46 patients were followed up for 6 to 34 (average, 11.65) months. The preoperative Mayo elbow-performance indexes ranged from 45 to 85 (average, 66.8±11.5) points. Fourteen cases were rated as good, 21 fair, and 11 poor. The postoperative Mayo el-bow-performance indexes ranged from 55 to 100 (average, 84.5±10.5) points. Sixteen cases were rated as excellent, 21 good, 8 fair, and 1 poor. Two patients had transient nerve palsy, involving one ulnar nerve and one deep branch of the radial nerve, but recovered in 3 months. Condusions Our Five-Sequential-Portal Method can ensure satisfactory exposure and clear view in elbow arthroseopy. The portals are safe, leading to low incidence of postoperative complications. It is recommendable in clinic.Key words: Elbow joint; Arthroscopy; Joint diseases" @default.
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- W3030062370 date "2008-10-15" @default.
- W3030062370 modified "2023-09-23" @default.
- W3030062370 title "Efficacy and safety of Five-Sequential-Portal Method in elbow arthroscopy" @default.
- W3030062370 doi "https://doi.org/10.3760/cma.j.issn.1671-7600.2008.10.009" @default.
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