Our Summary

The D‑A-CH Association for Shoulder and Elbow Surgery (DVSE) maintains a database, known as the endoprosthesis register (SEPR), which records information about the use of shoulder and elbow joint replacements (endoprostheses). This study looked at whether this information is just for monitoring changes in joint replacement surgery, or whether it can also be used to detect risks and potential complications early on. They found that the SEPR is a useful tool for checking the quality of joint replacement surgeries and contributes to making sure they are as safe as possible for patients. It can also help to identify risks and potential problems linked to shoulder and elbow joint replacement surgery.

FAQs

  1. What is the purpose of the endoprosthesis register (SEPR) maintained by the D-A-CH Association for Shoulder and Elbow Surgery (DVSE)?
  2. Can the SEPR be used to detect risks and potential complications in shoulder and elbow joint replacement surgeries?
  3. How does the SEPR contribute to the safety of patients undergoing joint replacement surgeries?

Doctor’s Tip

A helpful tip a doctor might tell a patient about elbow surgery is to follow post-operative care instructions carefully, including attending physical therapy sessions and practicing exercises to regain strength and range of motion in the elbow. It is important to communicate any pain, swelling, or unusual symptoms to your healthcare provider promptly to prevent complications and ensure a successful recovery. Additionally, maintaining a healthy lifestyle, including regular exercise and a balanced diet, can help support the healing process and improve overall joint health.

Suitable For

Patients who are typically recommended elbow surgery include those with severe arthritis, traumatic injuries, chronic pain, instability of the elbow joint, nerve compression or damage, and other conditions that have not responded to non-surgical treatments such as medication, physical therapy, or injections. Additionally, patients with conditions such as osteoarthritis, rheumatoid arthritis, fractures, dislocations, or ligament tears may also be candidates for elbow surgery. It is important for patients to consult with a healthcare provider to determine if elbow surgery is the best treatment option for their specific condition.

Timeline

Before elbow surgery:

  1. Patient consults with orthopedic surgeon to discuss symptoms and treatment options.
  2. Diagnostic tests such as X-rays or MRI may be performed to determine the extent of the injury or condition.
  3. Pre-operative appointments with the surgeon, anesthesiologist, and physical therapist to discuss the procedure and post-operative care.
  4. Patient may undergo physical therapy or other treatments to prepare for surgery.

After elbow surgery:

  1. Patient undergoes the surgery to repair or replace the damaged elbow joint.
  2. Recovery period involves pain management, physical therapy, and follow-up appointments with the surgeon.
  3. Patient gradually regains strength and range of motion in the elbow through rehabilitation exercises.
  4. Long-term follow-up appointments to monitor the progress of the elbow joint and address any complications that may arise.
  5. Patient may need to make lifestyle adjustments to protect the elbow joint and prevent further injury.

What to Ask Your Doctor

  1. What are the reasons for recommending elbow surgery in my case?
  2. What are the potential risks and complications associated with elbow surgery?
  3. What is the success rate of this type of surgery for my condition?
  4. What is the recovery process like after elbow surgery?
  5. Will I need physical therapy or rehabilitation after the surgery?
  6. How long will it take for me to fully recover and resume normal activities?
  7. Are there any alternative treatments to surgery that I should consider?
  8. How many elbow surgeries have you performed and what is your success rate?
  9. What type of anesthesia will be used during the surgery?
  10. Are there any restrictions or limitations I should be aware of after the surgery?

Reference

Authors: Aurich M, Lehmann LJ, Farkhondeh-Fal M, Kircher J. Journal: Orthopadie (Heidelb). 2023 Jun;52(6):472-478. doi: 10.1007/s00132-023-04389-z. Epub 2023 May 23. PMID: 37221299