Elbow Arthroscopic Stabilisation
A Minimally Invasive Procedure to Restore Stability and Prevent Recurrent Elbow Dislocations
Elbow ligament repair involves surgical techniques to mend or reconstruct damaged ligaments, which are critical for maintaining the stability of the elbow joint.
Common Reasons for the Procedure
- Elbow instability caused by ligament tears or sprains.
- Persistent pain and difficulty performing daily tasks after an injury.
- Chronic elbow dislocations or subluxations.
Goals of the Procedure:
- Restore the stability of the elbow joint.
- Reduce pain and improve function.
- Prevent further damage or recurrent instability.
Preparation for Surgery
Adequate preparation ensures a smoother recovery and optimal outcomes.
Steps in Preparation:
- Pre-Surgical Consultation:
- Dr Ben McGrath will evaluate your condition using imaging studies such as X-rays, MRIs, or CT scans to assess the extent of ligament damage.
- Pre-Surgical Instructions:
- Follow fasting guidelines and discuss medications that may need to be paused, such as blood thinners.
- Inform the surgical team about any allergies or medical conditions.
- Lifestyle Adjustments:
- Avoid smoking, as it can affect healing.
- Strengthen surrounding muscles with physiotherapy exercises to support recovery.
What Happens During the Surgery?
Elbow ligament repair is typically performed as a minimally invasive or open procedure under anaesthesia.
Procedure Steps:
- Anaesthesia:
- General or regional anaesthesia will be administered to ensure comfort.
- Surgical Technique:
- If possible, the damaged ligament is repaired by suturing it back to its original attachment.
- In cases of severe damage, reconstruction using a graft from your body or a donor may be required.
- Stabilisation:
- The repaired or reconstructed ligament is secured, and the joint is stabilised to support healing.
- Incision Closure:
- The incision is closed with sutures or staples, and a sterile dressing is applied.
Understanding the Risks
While elbow ligament repair is generally safe, it carries potential risks.
Common Risks:
- Swelling, bruising, or temporary stiffness.
- Minor discomfort during initial recovery.
Rare but Serious Risks:
- Infection at the surgical site.
- Damage to surrounding nerves or blood vessels.
- Recurrent instability requiring further intervention.
Measures are taken to minimise these risks, including strict aseptic techniques and close monitoring during recovery.
What to Expect After Surgery
Immediate Post-Operative Care:
- Your arm may be immobilised with a brace or splint to protect the repair.
- Pain management will include medications as prescribed by Dr Ben McGrath.
Discharge Instructions:
- Keep the surgical site clean and dry as directed.
- Avoid heavy lifting or sudden movements of the elbow until cleared by your surgeon.
Rehabilitation and Recovery
A structured rehabilitation program is vital to regaining strength and mobility.
Recovery Milestones:
- Weeks 1–3:
- Begin gentle range-of-motion exercises as recommended by your physiotherapist.
- Weeks 4–6:
- Gradually introduce strengthening exercises to stabilise the joint.
- Months 2–3:
- Resume most daily activities, avoiding high-impact or strenuous tasks until fully healed.
Restrictions During Recovery:
- Avoid weight-bearing activities with the affected arm until advised.
- Follow physiotherapy exercises closely for a safe recovery.
Long-Term Outcomes
Elbow ligament repair aims to restore joint stability and prevent future complications.
Expected Improvements:
- Reduced pain and improved stability.
- Restoration of elbow function for daily and recreational activities.
Maintenance of Results:
- Regular follow-up care to monitor healing progress.
- Adhering to prescribed exercises to maintain strength and flexibility.