Reoperative Concerns for the Unstable Elbow
The unstable elbow can be caused by not only problems with the bony anatomy but of course the soft tissue envelope as well. The unstable elbow may require correction of any bony deficits as well as reconstruction of ligaments in order to obtain an elbow that the patient feels confident in from a stability standpoint. The dissection after previous surgeries in these areas can be difficult because of bone loss as well as significant scar tissue about neurovascular structures. Frequently these surgeries may require more than one procedure in order to rectify anatomical deficiencies in a step-by-step fashion. Ultimately, if reconstructive efforts fail, the patient may be looking at elbow arthroplasty or fusion in order to find usage and stability from the arm.
KeywordsElbow Instability Collateral Ligament Reconstruction
- 3.Morrey BF. The elbow and its disorders. 4th ed. Toronto: Saunders; 2008. p. 839–41.Google Scholar
- 8.Sanchez-Sotelo J, Morrey B, O’Driscoll S. Ligamentous repair and reconstruction for posterolateral rotatory instability of the elbow. J Bone Joint Surg Br. 2005;87-B:54–61.Google Scholar