Introduction
Total elbow arthroplasty (TEA) is a surgery that replaces damaged cartilage and bone in the elbow joint. Artificial components made of metal and plastic replace the elbow joint. This improves range of motion and relieves pain in patients with severe elbow conditions like arthritis, fracture, or failed surgeries.
What is Total Elbow Arthroplasty/Replacement (TEA)
Total elbow arthroplasty (TEA) is a complex procedure. It involves replacing the damaged surfaces of the elbow joint with artificial components. This is done to improve function and reduce pain in patients with severe elbow conditions. The indications for TEA include severe arthritis, fractures that cannot be repaired, and failed previous surgeries on the elbow joint.
Three main types of TEA procedures:
- linked elbow arthroplasty,
- unlinked elbow arthroplasty, and
- hybrid elbow arthroplasty.
Each type has its own specific benefits and risks. You need to discuss with a specialist to determine the best option for each individual patient.
Benefits and Risks of TEA
The primary advantage of undergoing a TEA procedure is pain relief and improved function in the elbow joint. This can greatly improve the quality of life for patients who have been suffering from debilitating conditions. However, as with any surgical procedure, there are potential risks and complications associated with TEA. These may include infection, nerve damage, and loosening of the artificial components.
It is crucial for patients to have a thorough discussion with their specialist regarding these potential risks before undergoing the procedure. This will allow them to make an informed decision and understand the steps that can be taken to minimise these risks.
Preparing for a TEA Procedure
The first step in preparing for a TEA procedure is to consult with an orthopaedic specialist. During the initial consultation, the specialist will review the patient’s medical history and conduct physical examinations to determine if TEA is the recommended treatment. This may include X-rays or other diagnostic tests.
Before undergoing surgery, patients may also be required to undergo pre-operative tests and evaluations to ensure they are in good health for the procedure. You should follow any instructions given by the specialist, such as avoiding medications that may interfere with the surgery.
During elbow replacement surgery, the surgeon will make an incision in the arm, isolate and move the nerve present away from the operative site and remove the damaged parts of the elbow joint, including the cartilage and bone. The artificial joint will then be inserted into the arm and attached to the remaining bone using a special medical-grade cement. The artificial elbow is expected to move and function almost like a healthy elbow joint, allowing for improved range of motion and significantly reduced pain.
Recovery Time and Rehabilitation
Recovery time and rehabilitation after Total Elbow Arthroplasty (TEA) can vary depending on the extent of the surgery and individual factors. However, the patient is allowed almost immediate range of movement after the surgery.
A rehabilitation program is needed after surgery to optimise range of movement and strength. This may involve the use of a night splint to optimise function but its use varies between patients.
Follow-up appointments and discussions with the specialist are also crucial in preparing for a TEA procedure. This allows patients to ask any questions or address any concerns they may have before undergoing surgery.
TEA Procedure in Singapore
Singapore has a highly advanced healthcare system with a strong emphasis on quality and safety. This is reflected in the availability of reputable orthopaedic specialists and facilities for TEA procedures. It has strict accreditation processes for healthcare providers, such as the Joint Commission International (JCI) accreditation. This ensures that patients receive the highest quality of care.
Conclusion
As with any surgery, there are potential risks and complications associated with elbow arthroplasty. This includes infection, bleeding, nerve damage, and implant failure. You should discuss the potential risks and benefits of elbow arthroplasty with your doctor. This will determine if it is the right treatment option for you.
Here at Total Orthopaedic Care & Surgery, our surgeon is proficient in Total Elbow Arthroplasty (TEA). If you have elbow pain +/- stiffness affecting your daily function or a complex fracture around your elbow joint, and would like a comprehensive investigation, assessment and discussion of your condition, do make an appointment with our orthopaedic specialist to review your elbow condition today.
Please note that the provided content is for informational purposes only and should not replace professional medical advice.
