Our Summary
This research paper presents a video guide for performing a specific type of surgery called elbow arthrodesis. This procedure is not very common and is typically used as a last resort for situations such as when an elbow joint replacement has failed, there’s a loss of bone near the elbow, or there’s severe arthritis caused by infection or injury. The procedure is demonstrated on a patient who has a missing section of one of the bones in the forearm (the ulna), as well as arthritis in the elbow caused by an infection and an injury. The injury was severe and involved the skin being torn away from the arm (a degloving injury), a specific type of fracture where one of the forearm bones dislocates (a Monteggia fracture), and a fracture to the bone that rotates around the elbow (the radial head).
FAQs
- What is elbow arthrodesis and when is it indicated?
- What is the surgical technique for elbow arthrodesis in a patient with a segmental bony defect of the ulna?
- What conditions might lead to the need for an elbow arthrodesis surgery?
Doctor’s Tip
One helpful tip a doctor might tell a patient about elbow surgery is to follow the post-operative rehabilitation plan carefully to ensure proper healing and regain full range of motion and strength in the elbow. This may include physical therapy exercises, wearing a brace or splint as directed, and avoiding activities that could strain the healing elbow. It is important to communicate any concerns or changes in symptoms to your healthcare provider to ensure a successful recovery.
Suitable For
Patients who may be recommended for elbow surgery include those with failed total elbow arthroplasty, segmental bone loss near the elbow, severe postinfectious or posttraumatic arthritis, severe degloving injuries, Monteggia fracture dislocations, and radial head fractures. These patients may benefit from elbow arthrodesis as a salvage procedure to improve function and alleviate pain in the affected joint.
Timeline
Before elbow surgery:
- Patient experiences pain, stiffness, and limited range of motion in the affected elbow
- Patient undergoes diagnostic tests such as X-rays, MRI, and physical exams to determine the extent of the damage
- Orthopedic surgeon evaluates the patient’s condition and recommends elbow arthrodesis as a treatment option
- Patient undergoes pre-operative preparations such as blood tests, imaging studies, and consultation with an anesthesiologist
After elbow surgery:
- Patient is placed under general anesthesia for the surgery
- Surgeon performs the elbow arthrodesis procedure, which involves removing any damaged tissue, fusing the elbow joint, and stabilizing it with plates and screws
- Patient is monitored closely in the recovery room for any complications
- Patient starts physical therapy to regain strength and mobility in the affected arm
- Patient may experience some pain and discomfort post-surgery, which can be managed with pain medication
- Patient follows a rehabilitation plan to gradually increase activities and improve function in the elbow joint
- Over time, the patient experiences improved function and reduced pain in the affected elbow.
What to Ask Your Doctor
- What is the reason for recommending elbow surgery in my case?
- What are the potential risks and complications associated with elbow surgery?
- What is the expected recovery time and rehabilitation process after elbow surgery?
- Will I need any additional treatments or therapy following the surgery?
- What type of anesthesia will be used during the surgery?
- How long will I need to stay in the hospital after the surgery?
- Will I need to make any lifestyle or activity modifications after the surgery?
- How successful is elbow arthrodesis in cases like mine?
- What alternative treatment options are available for my condition?
- Are there any long-term implications or considerations I should be aware of after the surgery?
Reference
Authors: Couso M, Sherman N, Lowe J. Journal: J Orthop Trauma. 2021 Aug 1;35(Suppl 2):S15. doi: 10.1097/BOT.0000000000002170. PMID: 34227593