Persistent Elbow Deformity After Open Humerus Fracture Surgery - Orthopedics

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I'm truly sorry to hear about your situation. It sounds incredibly challenging, and it's understandable to feel frustrated and overwhelmed after undergoing multiple surgeries without achieving the desired outcome. Let's break down your concerns regarding the persistent elbow deformity following your open humerus fracture surgery.


Understanding Elbow Deformity Post-Surgery
After an open humerus fracture, especially one that has required multiple surgeries, it's not uncommon to experience complications such as malunion (improper healing) or nonunion (failure to heal). The fact that you had a second surgery indicates that your medical team recognized the initial healing was not progressing as expected. However, achieving full range of motion, particularly in the elbow, can be complicated by several factors:
1. Soft Tissue Damage: The trauma from the fracture and subsequent surgeries can lead to scarring and adhesions in the soft tissues around the elbow joint. This can restrict movement and lead to deformities.

2. Bone Alignment: If the bones did not heal in the correct position, this could lead to a permanent change in the angle of the elbow. An inward angulation of 20-30 degrees, as mentioned by your physician, may be considered acceptable for some functional activities, but it can be frustrating for someone in your profession.

3. Muscle and Joint Function: The muscles around the elbow may also be affected by the injury and surgeries. Weakness or tightness in these muscles can further limit your ability to straighten your arm.


Rehabilitation and Recovery
Rehabilitation is crucial after such injuries, and while it may seem daunting, it can significantly improve your function over time. Here are some steps you can take:
- Physical Therapy: Engage with a physical therapist who specializes in post-surgical rehabilitation. They can provide tailored exercises to improve your range of motion and strengthen the muscles around your elbow. Consistency is key; regular therapy sessions and home exercises can lead to gradual improvements.

- Pain Management: If pain is a barrier to your rehabilitation, discuss pain management options with your healthcare provider. This could include medications, modalities like heat or cold therapy, or even alternative therapies.

- Surgical Options: If your elbow remains significantly deformed and limits your ability to perform daily activities or work, you might want to discuss further surgical options with an orthopedic surgeon who specializes in elbow reconstruction. They can evaluate whether additional procedures could help improve your range of motion.


Seeking Support
It's important to address the emotional toll that this situation is taking on you. Consider speaking with a mental health professional who can help you process your feelings and develop coping strategies. Support groups for individuals with similar injuries can also provide a sense of community and understanding.


Finding the Right Specialist
If you're looking for a physician with both skill and compassion, consider seeking recommendations from trusted colleagues in the healthcare field, or look for orthopedic surgeons who specialize in upper extremity injuries. Online reviews and patient testimonials can also provide insight into a physician's approach and bedside manner.


Conclusion
Your frustration is valid, and it's essential to advocate for your health and well-being. While the journey to recovery may be long and challenging, with the right support and rehabilitation, there is potential for improvement. Please remember that you are not alone in this, and there are resources and professionals available to help you navigate your recovery.