Elbow Osteosynthesis
Elbow Osteosynthesis
What is elbow osteosynthesis?
Elbow osteosynthesis is a generic term that refers to the surgical reconstruction of fractures affecting the bones of the elbow – distal humerus, radius and ulna. Elbow fractures can occur in just one or in several of these bones simultaneously, in different patterns.
Osteosynthesis usually requires an approach through a skin incision, reduction of the fragments and anatomical reconstruction with placement of plates and screws for fixation.
Which elbow fractures require osteosynthesis?
Which elbow fractures require osteosynthesis?
Elbow fractures can be divided according to the bone affected. Fractures of the distal humerus, the uppermost portion of the elbow, often require surgical treatment due to the risk of displacement, compromise of the articular surface and consequent functional repercussions.
Fractures of the proximal radius, when they present a significant deviation of the articular surface, can cause stiffness and persistent pain, so their surgical correction should be considered. Fractures of the proximal ulna are a diverse group that, with the exception of minimally displaced fractures, require surgical intervention to fix the fragments in their correct position.
What is the best timing for elbow osteosynthesis surgery?
What is the best timing for elbow osteosynthesis surgery?
After being temporarily stabilized with a plaster cast, most elbow fractures requiring surgery can be scheduled, with the exception of fractures with exposed bone or suspected injury to nearby nerves or vessels. A period of up to 10-14 days may be acceptable in order to assemble an experienced team and the necessary equipment, with solutions for the various challenges that these fractures can present.
What to expect after elbow osteosynthesis surgery?
What to expect after elbow osteosynthesis surgery?
Most elbow osteosynthesis surgeries can be performed as an overnight stay (discharge the day after the procedure) or, in selected cases and for simpler fractures, as an outpatient procedure with discharge the same day. The duration of the surgery depends on the complexity of the fracture. An anesthetic block to control pain is common, and may also cause some discomfort due to initial difficulty in feeling and moving the fingers.
This effect usually disappears within a few hours.
A cast or orthosis may be prescribed to immobilize the elbow for the first 2 to 3 weeks to minimize pain and allow the structures to heal. Mobilization of the elbow should begin as soon as possible – sometimes the day after surgery. If immobilization is necessary, physical therapy should begin immediately after surgery.
Fractures around the elbow are a large group with different recovery times, which also vary according to the patient’s characteristics. Generally, simpler fractures may have a recovery time of around 3 months, while complex injuries involving bone and ligaments may take between 6 and 12 months.
