01742 Anesthesia for open or surgical arthroscopic procedures of the elbow; osteotomy of humerus

Name of the Procedure:

Anesthesia for open or surgical arthroscopic procedures of the elbow; osteotomy of humerus

Summary

This procedure involves the administration of anesthesia to facilitate open or arthroscopic surgery on the elbow, specifically for performing an osteotomy of the humerus. An osteotomy is a surgical operation where a bone is cut to shorten, lengthen, or change its alignment.

Purpose

Medical Condition:

• Correction of deformities or damage in the humerus that impacts elbow function. ##### Goals:
• Relieve pain.
• Restore normal alignment and function of the elbow.
• Improve mobility and quality of life.

Indications

Symptoms/Conditions:

• Severe elbow deformities.
• Chronic pain unresponsive to conservative treatments.
• Limited range of motion. ##### Patient Criteria:
• Patients with non-responsive fractures.
• Individuals with congenital deformities or post-traumatic conditions of the elbow.

Preparation

Pre-procedure Instructions:

• Fasting for 8 hours before the procedure.
• Adjustments in medication as advised by the healthcare provider. ##### Diagnostic Tests:
• Blood tests.
• Imaging studies (X-rays, MRI, or CT scans) of the elbow.

Procedure Description

1. Anesthesia Administration: Typically involves the use of general anesthesia or regional anesthesia such as a brachial plexus block to numb the entire arm.
2. Positioning: Patient is positioned to provide surgical access to the elbow.
3. Surgical Access: Open incision or arthroscopic portals are created.
4. Osteotomy: The humerus bone is cut and realigned as necessary to correct deformity.
5. Fixation: The bone is secured in the new position using plates, screws, or other hardware.
6. Closure: Incisions are closed with sutures or surgical glue and a dressing is applied.

Tools/Equipment:

• Scalpel.
• Arthroscope (for minimally invasive approach).
• Bone saw.
• Fixation devices (plates and screws).

Anesthesia Details:

• General or regional anesthesia ensures the patient is pain-free during the procedure.

Duration

Typically lasts between 1 to 3 hours, depending on the complexity of the surgery.

Setting

Performed in a hospital surgical suite or a specialized outpatient surgical center.

Personnel

• Orthopedic surgeon.
• Anesthesiologist.
• Surgical nurse.
• Surgical technician.

Risks and Complications

Common Risks:

• Bleeding.
• Infection.
• Nerve or blood vessel damage. ##### Rare Complications:
• Nonunion or delayed healing of the bone.
• Chronic pain or stiffness.
• Adverse reaction to anesthesia.

Benefits

• Significant pain relief.
• Improved elbow function and range of motion.
• Enhanced overall quality of life.

Recovery

Post-procedure Care:

• Pain management with prescribed medications.
• Immobilization with a sling or cast.
• Physical therapy to restore movement and strength. ##### Recovery Time:
• Initial recovery in 2-4 weeks.
• Full recovery may take several months. ##### Restrictions/Follow-up:
• Avoid heavy lifting and strenuous activities.
• Regular follow-up appointments for monitoring healing progress.

Alternatives

Other Treatment Options:

• Physical therapy.
• Medications.
• Less invasive procedures or non-operative management. ##### Pros and Cons:
• Non-surgical options may provide relief but potentially less effective for severe deformities.
• Surgery is more invasive but offers long-term correction.

Patient Experience

During Procedure:

• Patient will be asleep or the arm will be completely numb. ##### After Procedure:
• Expect some pain and swelling once the anesthesia wears off.
• Pain management strategies include medication, ice, and rest.
• Gradual improvement in symptoms as healing progresses.

This format should provide a comprehensive overview of the procedure in an accessible manner for patients or their caregivers.