INTERPOSITION-ARTHROPLASTY OF THE ELBOW: SYSTEMATIC REVIEW
THIAGO BERNARDO CARVALHO DE ALMEIDA, 1 EDMILSON DA SILVA REIS, 1 LUCIANO PASCARELLI, 1 ROBERTO RANGEL BONGIOVANNI, 1 and RENATO LOUREIRO TEODORO 1Elbow
Objective:
To perform a systematic review of the main methods and indications of interposition arthroplasty in the rigid elbow.
Methods:
The research was carried out by three independent researchers, in the databases PubMed, Medline and Embase, according to the descriptors selected as a research strategy and filters selected in the inclusion criteria.
Results:
In total, 21 studies were found with the afore mentioned descriptors and which were considered adequate according to the design and relevance according to the type of study and inclusion filters. There was a very strong correlation between the searches of the three researchers (k = 0.809). At the end, 14 complete studies were presented, all of which were included.
Conclusion:
The main finding of this study was to note that there is an evident lack of research with a high level of real effectiveness and indication for interposition arthroplasty in the rigid elbow. Most studies point to positive results when the patient is young and a total arthroplasty is not indicated. No meta-analysis or randomized clinical trial was found for this specific topic, despite being a technique applied in clinical practice for some decades and showing good results. Level of Evidence V, Systematic Review.
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