24343 Repair lateral collateral ligament, elbow, with local tissue

Name of the Procedure:

Repair of Lateral Collateral Ligament (LCL), Elbow using Local Tissue

Summary

This surgical procedure involves repairing the lateral collateral ligament (LCL) in the elbow using the patient's own tissue. The LCL is crucial for maintaining the stability of the elbow joint, and this procedure aims to restore function and alleviate pain following an injury or tear.

Purpose

This procedure addresses instability or tears in the lateral collateral ligament of the elbow. The goals are to restore joint stability, reduce pain, and improve the overall function and range of motion in the elbow.

Indications

• Persistent elbow pain
• Elbow instability or weakness
• Limited range of motion due to an LCL injury
• Failure of conservative treatments such as physical therapy or bracing

Preparation

• Fasting for at least 8 hours before the procedure
• Adjustments in medications, particularly blood thinners
• Pre-operative imaging tests like MRI or X-rays to assess the extent of the injury

Procedure Description

1. The patient is positioned to allow access to the elbow.
2. Local or general anesthesia is administered.
3. An incision is made on the lateral side of the elbow.
4. The damaged LCL is identified and isolated.
5. Using the patient's own tissue, the surgeon repairs the torn ligament, often securing it with sutures or anchors.
6. The incision is closed with sutures, and a sterile dressing is applied.

Duration

The procedure typically takes about 1-2 hours.

Setting

This procedure is usually performed in a hospital or outpatient surgical center.

Personnel

• Orthopedic surgeon
• Surgical nurse
• Anesthesiologist or nurse anesthetist

Risks and Complications

• Infection
• Bleeding or hematoma
• Nerve or blood vessel damage
• Scar tissue formation
• Re-injury or incomplete healing

Benefits

• Improved elbow stability and function
• Pain relief
• Enhanced ability to perform daily activities and sports
• Benefits are often realized within a few months post-surgery.

Recovery

• Initial immobilization of the elbow using a splint or brace
• Gradual physical therapy to restore strength and range of motion
• Recovery time typically ranges from 3 to 6 months
• Follow-up appointments to monitor healing and adjust the care plan as needed

Alternatives

• Physical therapy and strengthening exercises
• Bracing or orthotic support
• Corticosteroid injections
• Arthroscopic surgery
• Pros of alternatives include non-invasiveness and shorter recovery times; cons include potentially lower effectiveness in severe injuries.

Patient Experience

During the procedure, the patient will be under anesthesia and will not feel pain. Post-operatively, pain management includes medications and possibly ice application. Rehabilitation may involve some discomfort but is generally managed with pain relief methods and therapy exercises.