Arthroscopic Debridement Of The Elbow
Arthroscopic debridement of the elbow is a minimally invasive surgical procedure in which an arthroscope, a special tube-like instrument fitted with a camera and a light source, is inserted into the elbow through a tiny keyhole skin incision to identify and remove nonviable tissue and foreign debris from inside the elbow joint.
Anatomy of the Elbow
The human arm is made up of three main bones that join at the elbow, forming a hinge joint. The lower end of the upper arm bone or humerus forms the top portion of the hinge joint, while the lower portion of the joint is formed by the upper ends of the radius and the ulna bones, which are the forearm bones. The elbow is held in place with the support of various soft tissues including cartilage, tendons, ligaments, muscles, nerves, blood vessels, and bursae.
Indication for arthroscopic Debridement of the Elbow
The most common injuries or conditions which are treated using arthroscopic debridement of the elbow include:
- Scar tissue inside the joint that restricts the range of motion
- Osteoarthritis of the elbow
- Inflammatory arthritis of the elbow
- Loose cartilage and bone fragments within the elbow causing impingement
Procedure for arthroscopic Debridement of the Elbow
- You will be positioned in such a manner that the elbow can be bent comfortably. After which, the area will be cleaned and sterilized to prevent infection.
- You will receive general anesthesia.
- Your surgeon will insert an arthroscopic camera and various other tools through several small incisions made around the elbow.
- The camera allows your doctor to view the inside of the elbow under magnification as the procedure is performed.
- Sterile fluid is then injected into the elbow to expand the joint space for your surgeon to better assess the region for the presence of any disease or damage.
- Once the condition has been diagnosed, surgical tools are inserted through the tiny incisions to repair any damage.
- Bone spurs may be filed down and damaged cartilage may be removed during the repair process.
Once the treatment is complete, the small incisions are closed with either stitches or surgical staples. Finally, the elbow is bandaged, and you will be provided with medication for pain relief. Most patients are allowed to return home on the same day.
Post-operative Care after arthroscopic Debridement of the Elbow
Usually, some pain and discomfort may be present for about a week post-surgery. If you have had extensive debridement, it may take several weeks before your pain completely subsides. The application of ice packs along with elevating the elbow regularly during the first 48 hours is necessary once the surgery is completed. This reduces the risk of severe swelling and helps to relieve pain. Generally, you may be advised to start physical therapy by the 10th or 14th-day post-surgery. The therapy will focus on restoring your elbow flexibility and range of motion. The recovery period varies from person to person depending on the person’s health and his/her response to the therapy.
Risks of Arthroscopic Debridement of the Elbow
The risks associated with arthroscopic debridement elbow procedure include:
- Chronic pain
- Swelling or numbness
- Stiffness
- Fever
- Redness around the incisions
- Color changes in the wrist or hand
- Drainage or bleeding from the incisions
Benefits of Arthroscopic Debridement of the Elbow
The benefits of arthroscopic debridement of the elbow include:
- Small surgical incisions
- Less blood loss
- Minimal injury to healthy tissues
- Less pain
- Faster recovery
Desbridamiento Artroscópico del Codo
Es un procedimiento quirúrgico mínimamente invasivo en el que se inserta un artroscopio, un instrumento tubular con cámara y luz, a través de una pequeña incisión para identificar y remover tejido no viable y cuerpos extraños dentro de la articulación del codo.
Anatomía del Codo
El brazo humano está formado por tres huesos que se unen en el codo, formando una articulación tipo bisagra: húmero (parte superior), radio y cúbito (antebrazo). El codo se mantiene con tejidos blandos incluyendo cartílago, tendones, ligamentos, músculos, nervios, vasos sanguíneos y bursas.
Indicaciones
- Tejido cicatricial que limita el rango de movimiento
- Osteoartritis del codo
- Artritis inflamatoria del codo
- Fragmentos sueltos de cartílago y hueso causando pinzamiento
Procedimiento
- Posicionamiento cómodo del codo, limpieza y esterilización
- Anestesia general
- Inserción del artroscopio y herramientas quirúrgicas a través de pequeñas incisiones
- Visualización del interior del codo con magnificación
- Inyección de líquido estéril para expandir la articulación
- Reparación de daños, limado de espolones óseos y remoción de cartílago dañado
- Cierre de incisiones con suturas o grapas y vendaje
- Medicación para el dolor, generalmente el paciente puede irse a casa el mismo día
Postoperatorio
- Dolor y molestias durante aproximadamente una semana
- Si el desbridamiento fue extenso, puede tardar varias semanas en desaparecer el dolor
- Aplicación de hielo y elevación del codo durante las primeras 48 horas
- Fisioterapia desde el día 10 a 14, enfocada en recuperar flexibilidad y rango de movimiento
- El tiempo de recuperación varía según la salud y respuesta del paciente
Riesgos
- Dolor crónico
- Hinchazón o entumecimiento
- Rigidez
- Fiebre
- Enrojecimiento alrededor de las incisiones
- Cambios de color en muñeca o mano
- Secreción o sangrado de las incisiones
Beneficios
- Pequeñas incisiones quirúrgicas
- Menor pérdida de sangre
- Mínimo daño a tejidos sanos
- Menor dolor
- Recuperación más rápida