Elbow fracture
Hello Dr.
Wang: I recently suffered a fracture in my left elbow due to a car accident.
I have a long scar from the surgery that I find unsightly.
I would like to ask if there is a way to perform minimally invasive surgery for an elbow fracture? After completing rehabilitation, will I be able to regain full range of motion? Currently, I am unable to fully extend or bend my elbow.
Niming, 20~29 year old female. Ask Date: 2019/09/16
Dr. Ye Qingnian reply Orthopedics
For an elbow fracture, the surgical approach depends on the location and severity of the fracture.
If the arm is not extending fully, it is important to start rehabilitation as soon as possible; the longer the delay, the more difficult recovery will be.
Reply Date: 2019/09/16
More Info
Minimally invasive surgery (MIS) has become a popular approach for treating various types of fractures, including those of the elbow. This technique aims to reduce the size of incisions, minimize tissue damage, and promote quicker recovery times compared to traditional open surgeries. In your case, where you have sustained an elbow fracture due to an accident, it’s understandable to be concerned about both the aesthetic outcome of the surgery and the functional recovery of your elbow.
To address your first question, yes, there are minimally invasive techniques available for treating elbow fractures, particularly for certain types of fractures that do not require extensive exposure to the joint. These techniques often involve the use of smaller incisions and specialized instruments, such as arthroscopes, which allow surgeons to visualize and repair the fracture with minimal disruption to surrounding tissues. However, the feasibility of MIS largely depends on the specific nature of your fracture, its location, and the overall condition of your elbow joint. It is essential to consult with your orthopedic surgeon to determine if you are a suitable candidate for this type of surgery.
Regarding your concerns about recovery and whether you can regain full function of your elbow, it is important to understand that while many patients do achieve significant improvement after surgery and rehabilitation, not everyone returns to 100% functionality. Factors influencing recovery include the severity of the fracture, the presence of any associated injuries (such as ligament damage), your age, overall health, and adherence to rehabilitation protocols.
After surgery, physical therapy plays a crucial role in your recovery. The goal of rehabilitation is to restore range of motion, strength, and function to the elbow. Initially, you may experience limitations in both extension (straightening) and flexion (bending) of the elbow. It is common for patients to have difficulty achieving full range of motion immediately after surgery, and it may take time and consistent effort to improve. Your physical therapist will guide you through exercises tailored to your specific needs, gradually increasing the intensity and complexity as your healing progresses.
In terms of timeline, many patients begin to see improvements in range of motion within a few weeks post-surgery, but achieving full extension and flexion can take several months. It is not unusual for some patients to experience lingering stiffness or difficulty with certain movements even after completing rehabilitation. However, with diligent therapy and possibly additional interventions (such as joint mobilization techniques), many individuals can achieve a functional range of motion that allows them to return to their daily activities.
Lastly, it is essential to maintain open communication with your healthcare team throughout your recovery process. If you have concerns about your progress or specific limitations, discussing these with your surgeon or physical therapist can help tailor your rehabilitation plan to better meet your goals. They may also provide insights into additional treatments or therapies that could assist in improving your elbow function.
In summary, while minimally invasive surgery for elbow fractures is an option, the extent of recovery and the ability to regain full function can vary. Engaging in a structured rehabilitation program and maintaining a positive outlook will be key components in your recovery journey.
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