Elbow arthroscopic +/- mini-open contracture release for stiffness

You or your child have just undergone an elbow arthroscopic +/- mini-open contracture release with Kemble. This means that you had stiffness of the elbow that was impairing your function. The scars and/or bony problems inside the joint were addressed to try and relieve the stiffness.

You will have several arthroscopic "key-hole" incisions on your elbow through which the work was done. These would be distributed around the front, back and sides of the elbow. These will have sutures holding it closed. These would be dressed with water resistant dressing, on top of which bandage would have been applied. There is typically no plaster used.

Shortly after your surgery, you may be asked to use a "continuous-passive motion" machine, which the physiotherapist will help you apply. This machine assists with the motion of your elbow in the early hours following surgery. 

  • Postoperatively your arm will be in a sling. You can start coming out of the sling straight away with the physiotherapist for exercises. The sling is for comfort only, and you do not have to wear it if you do not find it provides more comfort than not wearing a sling.

  • It is normal to have some tingling or numbness or weakness following your procedure. This is often due to a nerve block performed preoperatively to help with your pain, or with postoperatively injected local anaesthesia. This will wear off in the first day or two.

  • It is very important post-operatively that you work with your therapist immediately in trying to regain motion. You will need to start moving your elbow straight-away to get the best result

  • Please keep your dressing/bandage dry at all times. You may use a plastic bag tied above the elbow to prevent the dressing/wound from getting wet during shower/bathing

  • Around 2 weeks following surgery, you should have your wound checked. There may be sutures that need to be removed by a doctor or a nurse.

Therapy and movement

  • Starting immediately after surgery, It is important you come out of the sling to try to move your elbow. Bend and straighten your elbow all the way or as much as you can. Do 10 repetitions of this and do this 10 times a day (100 reps)

  • Moving the elbow may be uncomfortable or a little painful, however, it is important you still try to move it.

  • You should wean out of the sling over the next few days and be out of the sling altogether by the end of the first week after surgery. 

  • Most of the time, Kemble will organize for you to see a therapist to help with movement of the elbow and gradual strengthening. This should start within the first week after surgery. 

Return to activity and sports

  • The speed of healing and return to sports is different for everyone. It is also dependent on your therapist's input.

  • Following surgery, you should limit weight-bearing to 5kgs for the first 6 weeks.  

  • Once near full range of motion has been achieved, you may return to gentle sports training that does not involve throwing or weight-bearing of the arm. 

  • For gymnasts, at 6 weeks you may begin to return to "non-flight" gymnastics. This means activities where one part of the body is always touching either the ground or the equipment. If this is well tolerated and there is no pain or locking of the elbow, you may return to full gymnastics at 3 months following surgery. 

  • For throwers, at 2 months you may begin to return to throwing. 

What to look out for

  • Continued drainage from the wounds that does not stop after 1 week

  • Suddenly deterioration in pain when previously pain has been improving

  • Sudden locking of the elbow and inability to bend/straighten

  • If any of the above is noted, please contact Dr Kemble Wang's team. 

©2020 Kemble Wang Orthopaedics

 

Disclaimer: All information provided on this webpage should be considered as general guidelines. Actual practice and (expected) outcomes may differ in your case. The contents has been created online for information purposes only. It is not intended to be a substitute for professional medical advice.