Repair medial collateral ligament, elbow, with local tissue
CPT4 code
Name of the Procedure:
Repair of Medial Collateral Ligament (MCL) of the Elbow with Local Tissue
Summary
This procedure involves fixing a damaged medial collateral ligament in the elbow using tissue from the surrounding area. It is a surgical intervention aimed at restoring the stability and function of the elbow.
Purpose
The procedure addresses a torn or weakened medial collateral ligament in the elbow. The goal is to regain full strength, stability, and range of motion, allowing the patient to return to normal activities and reduce pain.
Indications
- Chronic elbow pain due to MCL injury
- Elbow instability or frequent dislocation
- Failed conservative treatments like physical therapy or bracing
- Athletes or individuals requiring high elbow stability for their activities
Preparation
- Patients may need to fast for several hours before the procedure.
- Adjustments to medications may be required, especially blood thinners.
- Preoperative assessment including physical examination, X-rays, and possibly an MRI to evaluate the extent of the ligament damage.
Procedure Description
- The patient is positioned and anesthesia is administered, usually general or regional.
- An incision is made over the inside of the elbow to access the damaged MCL.
- The surgeon uses a piece of local tissue (often from the patient's own tendon) to repair and reinforce the ligament.
- The damaged ligament is either sutured back or replaced with the graft tissue.
- The incision is closed with sutures, and a sterile dressing is applied.
Duration
The procedure typically takes about 1 to 2 hours.
Setting
This surgery is usually performed in a hospital or an outpatient surgical center.
Personnel
- Orthopedic surgeon
- Anesthesiologist or nurse anesthetist
- Surgical nurses
- Surgical technologist
Risks and Complications
- Infection
- Bleeding
- Nerve damage
- Stiffness in the elbow
- Graft failure or poor healing
- Potential need for additional surgery
Benefits
- Improved elbow stability
- Alleviation of pain
- Restoration of function and range of motion
- Return to normal or athletic activities
Recovery
- Post-procedure care includes applying ice and keeping the elbow elevated.
- Movement restrictions and wearing a brace initially.
- Physical therapy usually starts a few weeks post-surgery.
- Full recovery and return to high-demand activities can take 6-12 months.
Alternatives
- Non-surgical methods like physical therapy, bracing, and anti-inflammatory medications.
- Surgical options like ligament reconstruction using donor tissue.
- Pros of alternatives: Non-invasive, less recovery time.
- Cons: Less effective for severe tears, may not restore full function.
Patient Experience
During the procedure, the patient is under anesthesia and feels no pain. Post-procedure, there will be some pain and discomfort managed by medications. During recovery, the patient may experience restricted movement, and physical therapy will aid in regaining strength and flexibility. Comfort measures and pain management strategies will be provided throughout the recovery period.