Our Summary

This research paper explains the history and progress of total elbow arthroplasty (TEA), a surgical procedure to replace a damaged elbow joint with an artificial one. The paper explores how our knowledge of the way elbow joints work has been shaped by advances in TEA. It also looks at how the reasons for using TEA have changed over time. The article also addresses potential issues that can occur with modern TEA procedures. Looking forward, the paper speculates on future innovations and trends in the field.

FAQs

  1. What is total elbow arthroplasty (TEA) and why is it used?
  2. What potential issues can occur with modern TEA procedures?
  3. What future innovations and trends are predicted in the field of total elbow arthroplasty?

Doctor’s Tip

One helpful tip a doctor might tell a patient about elbow surgery is to follow the post-operative rehabilitation plan closely. This may include physical therapy exercises to help regain strength and range of motion in the elbow. It’s important to be patient and consistent with these exercises to ensure a successful recovery. Additionally, listening to and following your doctor’s advice on restrictions and precautions during the healing process can help prevent complications and promote optimal healing.

Suitable For

Patients who are typically recommended for elbow surgery include those suffering from severe arthritis in the elbow joint, traumatic injuries to the elbow, chronic pain and stiffness in the elbow that does not respond to conservative treatments, and deformities or instability in the elbow joint. These patients may experience significant limitations in their daily activities and quality of life, and surgery may be the best option to alleviate their symptoms and improve function in the affected joint.

Patients with conditions such as rheumatoid arthritis, osteoarthritis, post-traumatic arthritis, and avascular necrosis of the elbow may benefit from total elbow arthroplasty to restore function and reduce pain. Additionally, patients who have failed previous conservative treatments such as physical therapy, medications, and injections may be candidates for surgery to address their ongoing elbow issues.

It is important for patients considering elbow surgery to undergo a thorough evaluation by a qualified orthopedic surgeon to determine if they are good candidates for the procedure. The surgeon will take into account factors such as the patient’s overall health, activity level, severity of their condition, and their goals for surgery to determine the most appropriate treatment plan.

Overall, patients with debilitating elbow conditions that have not responded to conservative treatments may be recommended for elbow surgery such as total elbow arthroplasty to improve their quality of life and restore function in their affected joint.

Timeline

Before elbow surgery:

  1. Initial consultation with a healthcare provider to discuss symptoms and determine the need for surgery.
  2. Pre-operative testing and evaluations to assess overall health and prepare for surgery.
  3. Discussions with the surgeon about the procedure, potential risks and benefits, and expected outcomes.
  4. Pre-operative physical therapy to strengthen the muscles and improve range of motion in the affected elbow.
  5. Pre-operative instructions on fasting, medications, and other preparations for the surgery day.

After elbow surgery:

  1. Immediate post-operative care in the recovery room, monitoring for any complications.
  2. Pain management and physical therapy to promote healing and regain strength and range of motion in the elbow.
  3. Hospital stay for observation and initial rehabilitation, if necessary.
  4. Follow-up appointments with the surgeon for wound care, evaluation of progress, and adjustment of treatment plan.
  5. Continued physical therapy and rehabilitation at home or in a rehabilitation facility to achieve optimal recovery and function in the elbow joint.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with elbow surgery?
  2. How long is the recovery process and what can I expect in terms of pain management?
  3. What are the success rates of total elbow arthroplasty and how long can I expect the artificial joint to last?
  4. Are there any alternative treatments or therapies that I should consider before opting for surgery?
  5. Will I need physical therapy after the surgery and how long will it take for me to regain full use of my elbow?
  6. How experienced are you in performing total elbow arthroplasty and what is your success rate with this procedure?
  7. What pre-operative tests or evaluations will be done to ensure I am a good candidate for elbow surgery?
  8. Are there any lifestyle changes or restrictions I should be aware of post-surgery?
  9. What is the expected outcome of the surgery in terms of pain relief and improved mobility?
  10. Are there any specific exercises or rehabilitation programs I should follow to optimize the results of the surgery?

Reference

Authors: Birnbaum A, Campbell H, Tejwani N, Ayalon O, Kwon Y. Journal: Bull Hosp Jt Dis (2013). 2024 Mar;82(1):110-47. PMID: 38431971