Year: 2026 | Month: October | Volume: 13 | Issue: 10 | Pages: 543-548
DOI: https://doi.org/10.52403/ijrr.20261049
Comparison of the Clinical Outcome Measurement with Dash Score and Mayo Score at Total Elbow Arthroplasty Before and After Treatment: Case Report
Muhammad Nadirsyah1, Hendra Maska11
1Department of Orthopaedic and Traumatology, Andalas University, Padang, Indonesia.
Corresponding Author: Muhammad Nadirsyah
ABSTRACT
Background: Distal humerus fractures malunion is a challenge. The operation needed for this purpose is much more demanding. One of the treatments is total elbow arthroplasty (TEA) designs that aim to replicate anatomy and provide stability of physical function. We need to follow up on the function and symptoms after the treatment.
Objective: To evaluate the clinical outcomes of total elbow arthroplasty by comparing functional status before and after treatment using the Disabilities of the Arm, Shoulder and Hand (DASH) score and Mayo score.
Methodology: This study is a single-patient case report evaluating a patient who underwent TEA. Clinical outcomes were assessed before and after treatment using the DASH score and Mayo Elbow Performance Score to evaluate upper-extremity function, pain, range of motion, and functional performance.
Results: A 52-year-old male patient came to the hospital with a chief complaint of tenderness in right elbow in the last 2 years. The patient has a history of a traffic incident and has undergone surgical intervention twice. Physical examination shows that in the right elbow there are scar, deformity, angulation, and tenderness. The patient was measured with the DASH score and Mayo score. Before treatment with TEA, the patient’s DASH score was 86.4 points and the Mayo score was 30 points. After 2 months and the patient received physiotherapy 6 times, the patient’s DASH score was 43.2 points and the Mayo score was 55 points.
Conclusion: Total elbow joint arthroplasty for distal humerus fractures malunion has an increase in physical function and decreased symptoms measured with DASH score measurement and Mayo score measurement.
Keywords: DASH score; Mayo score; Total elbow arthroplasty; Clinical outcome.
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