Elbow Fractures and Dislocation-Elbows to run from

Video Transcription

Video Summary

In this video, a group of orthopedic surgeons discuss different cases and treatment options related to elbow injuries. One case involves a question about capsulectomy for arthritis, with one surgeon preferring it only for cases with bone or metal impeding joint range of motion. Another case is about the role of radial head replacement versus excision in patients with radiocapitular arthritis. One surgeon shares that they try to preserve the radial head whenever possible, but if it is severely damaged or eroded, they may opt for excision or replacement. The discussion also touches on the use of continuous passive motion (CPM) machines after arthroscopic elbow debridement and the management of complications such as Charcot elbow and infection in revision elbow surgeries. In one case, a patient with multiple failed surgeries and loosening of prostheses is treated by removing all components and investigating for infection. Lastly, a patient who had several failed reconstructions with allografts and cement undergoes a staged approach, including structural spacer placement and later revision with a long-stemmed prosthesis and allograft. The surgeons emphasize the importance of ruling out infection, discussing treatment options, and considering patient factors and quality of life when making decisions.

Keywords

elbow injuries

capsulectomy

radial head replacement

excision

arthroscopic elbow debridement

Charcot elbow

revision elbow surgeries