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Arthroscopic elbow surgery, is it safe?
Reduan Elfeddali1, Maria H E Schreuder, Denise Eygendaal
1Atrium Medisch Centrum, Heerlen, The Netherlands.
Journal of Shoulder and Elbow Surgery
|April 18, 2013
Summary
Arthroscopic elbow surgery is a safe procedure with a 0.5% major complication rate. History of trauma or prior surgery increases challenges and potential complications in elbow arthroscopy.
Area of Science:
- Orthopedic Surgery
- Minimally Invasive Procedures
Background:
- Arthroscopic elbow surgery has seen a significant increase in utilization over the last decade.
- The procedure presents technical challenges due to proximity to neurovascular structures and confined joint spaces, leading to potential complications.
Purpose of the Study:
- To report complications in a large series of arthroscopic elbow surgery patients.
- To identify factors contributing to the occurrence of these complications.
Main Methods:
- A single surgeon performed 200 elbow arthroscopies over an 8-year period using a standardized technique.
- Patient records were reviewed by independent observers with a minimum 8-week follow-up.
Main Results:
- A 0.5% rate of major permanent complications was observed, with ulnar nerve injury being the only one.
- Minor complications occurred in 7% of patients, including transient nerve palsies, wound issues, and elbow contractures.
- A history of trauma, fracture, or previous surgery was noted in 60% of patients with complications and 73% of those with direct surgery-related complications.
Conclusions:
- Arthroscopic elbow surgery is relatively safe, with a 0.5% major complication rate, suitable for various indications when performed consistently.
- Patients with a history of trauma or prior surgery face increased procedural challenges, potentially leading to higher complication rates in less experienced hands.