Psychometric properties of the Mayo Elbow Performance Score

Çelik, Derya

doi:10.1007/s00296-014-3201-1

Cited by 28 publications

(21 citation statements)

References 18 publications

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“…To facilitate a clinical decision, we conducted a meta-analysis comparing lateral approach and combined approach for terrible triad of elbow We found that the elbow range of motion, pronationsupination and MEPS were significantly more in the combined approach. MEPS is highly applied to evaluate disability of elbow fracture dislocation [15]. This suggests that lateral approach leads to poor stability as compared to combined approach, which leads to a poor functional outcome.…”

Section: Discussionmentioning

confidence: 99%

Lateral Approach Versus Combined Lateral and Anteromedial Approach for Surgical Treatment of Terrible Triad of Elbow: A Meta-Analysis

Singh

Meena

Kumbhare

et al. 2020

BEAT

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To find out which surgical approach, optimize the functional outcomes and reduce the risk of complications in terrible triad of elbow. Methods: Medline, EMBASE, Cochrane Library, and Google Scholar were searched to identify relevant studies, which were included if they were retrospective or prospective in design, involved participants who had terrible triad of elbow (TTIE) that compared lateral approach (LA) with combined lateral and anteromedial approach (CML), and were published in English. Outcomes of interest were functional outcomes, complications, and operative time. Results: Four studies, involving 470 patients were included in the systematic review. Mean follow up after surgery was typically 24 to 30 months. We found significant more range of motion (ROM) of elbow in CML as compared to LA group (MD: -14.21, 95% CI: -21.13 to-7.29, p<0.00001). There was significant more forearm rotation in CML as compared to LA group (MD: -18.88, 95% CI: -32.35 to -5.40, p<0.00001). Mayo elbow performance score (MEPS) was significantly more in CML (MD: -3.31, 95% CI: -7.23 to 0.62, p=0.00001). Blood loss, operative time, VAS and complications were more in CML group; however, the difference was not significant. The heterogeneity of the study and synthesizing retrospective data were the primary limitations. Conclusion: Our analysis demonstrated that combined lateral and medial approach had significantly more elbow ROM and forearm rotation. The combined approach also had significantly more MEPS. However, using combined approach significantly increased the operative time.

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Section: Discussionmentioning

confidence: 99%

Lateral Approach Versus Combined Lateral and Anteromedial Approach for Surgical Treatment of Terrible Triad of Elbow: A Meta-Analysis

Singh

Meena

Kumbhare

et al. 2020

BEAT

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“…MEPS is highly applied to evaluate disability of elbow injuries. [ 23 ] A recent study showed that restoring the damaged structures, such as medical soft tissue structures, demonstrates excellent results on the basis of MEPS in TTE patients. [ 24 ] By using a single anterior approach in a study with 79 patients undergoing surgical treatment of distal biceps tendon ruptures with anterior bone anchor, the MEPS was 95.2 points and nearly every patient had excellent and good results.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of effect and safety of arthroscopic surgery with three different operative approaches in patients with terrible triad of the elbow

Li²,

Hu³

et al. 2018

Medicine

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Background:The terrible triad of the elbow (TTE) is a difficult injury, and the usual TTE consists of posterior dislocation of the elbow, radial head fracture, and coronoid fracture. The target of this retrospective study is to explore the effect, postoperative complications, and prognostic factors in patients with TTE undergoing arthroscopic surgery with three different operative approaches.Methods:Patients with TTE underwent arthroscopic surgery were treated using lateral, anterior medial, or combined lateral and anterior medial approaches, respectively. In order to analyze the postoperative complications and the effect of arthroscopic surgery for patients with TTE, the function of elbow joint before and after the surgery was evaluated and the flexion-extension of elbow joint and rotation of elbow joint and forearm were measured.Results:The evaluation results obtained from patients underwent 3 different operative approaches revealed that after surgery, patients receiving arthroscopic surgery using combined lateral and anterior medial approach had superior flexion-extension of elbow joint, rotation of elbow joint and forearm, higher Mayo Elbow Performance Score (MEPS) and more cases of Broberg–Morrey grade 0, and lower complication rate, compared with those using lateral or anterior medial approach. A key finding in the study demonstrated that fracture type, operative approach, and postoperative complications were factors related with the effect of arthroscopic surgery for patients with TTE.Conclusion:Collectively, the key findings obtained from the present study supported the notion that the effect of arthroscopic surgery in combined lateral and anterior medial approach is much better than in lateral approach or anterior medial approach, and is related with fracture type, operative approach, and postoperative complications.

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“…Mayo Elbow Performance Score Mayo Elbow Performance Score (MEPS) is a surgeon-administrated instrument that evaluates the outcome after elbow surgery [18]. There are four domains, including pain (0-45 points), range of motion (0-20 points), stability (0-10 points), and difficulties in daily activities (0-25 points) [3,4]. The outcome can be interpreted based on a 100point scale: 0-60, poor; 60-74, fair; 75-89, good; and 90-100, excellent [18].…”

Section: Secondary Functional Outcomesmentioning

confidence: 99%

Elbow hemiarthroplasty versus open reduction and internal fixation for AO/OTA type 13 C2 and C3 fractures of distal humerus in patients aged 50 years or above: a randomized controlled trial

Al-Hamdani

Rasmussen

Holtz

et al. 2020

Trials

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Background: Intraarticular distal humeral fractures of AO/OTA type 13 C2 and C3 pose a surgical challenge despite the evolution of surgical implants and techniques. Open reduction and internal fixation (ORIF) is often preferred as the first choice of treatment, but the results vary and are sometimes disappointing. Total elbow arthroplasty (TEA) has been widely used for fractures that are not amenable to ORIF in elderly patients, but the mechanical complications remain a challenge, especially in active patients. Elbow hemiarthroplasty (EHA) provides a modern alternative that might avoid the mechanical complications and weight bearing restrictions related to the linked articulation in semi-constrained TEA. No studies have compared the results of EHA to that of ORIF, but case series have reported promising results. Methods/design: This is a study protocol describing an investigator-initiated, non-blinded randomized controlled trial comparing the outcome of EHA with ORIF for AO/OTA type 13 C2 and C3 fractures of the distal humerus in patients who are 50 years or older. Forty-four patients with AO/OTA type 13 C2 and C3 fractures of distal humerus will be randomized to either EHA or ORIF. The Oxford Elbow Score (OES) will be used as primary outcome. Mayo Elbow Performance Score (MEPS), pain severity score (VAS), range of motion, and patient satisfaction will be used as secondary outcomes. Reoperations, complications, and the length of sick leave will be recorded. The patients will be examined after the operation and at 3 months and 1, 2, 5, and 10 years. Discussion: The main objective of this study is to investigate the best treatment option for AO/OTA type 13 C2 and C3 fractures of distal humerus in patients aged 50 years or above. We hypothesize that EHA results in fewer complications and superior functional outcome compared with ORIF and that the mechanical complications related to the linked articulation of TEA can be avoided.

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Psychometric properties of the Mayo Elbow Performance Score

Cited by 28 publications

References 18 publications

Lateral Approach Versus Combined Lateral and Anteromedial Approach for Surgical Treatment of Terrible Triad of Elbow: A Meta-Analysis

Lateral Approach Versus Combined Lateral and Anteromedial Approach for Surgical Treatment of Terrible Triad of Elbow: A Meta-Analysis

Evaluation of effect and safety of arthroscopic surgery with three different operative approaches in patients with terrible triad of the elbow

Elbow hemiarthroplasty versus open reduction and internal fixation for AO/OTA type 13 C2 and C3 fractures of distal humerus in patients aged 50 years or above: a randomized controlled trial

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