Elbow Surgery

Indication: Elbow arthritis or post-traumatic stiffness with impingement spurs in flexion/extension.

Technique: Keyhole excision of olecranon and coronoid osteophytes combined with capsule release to restore motion arc.

Indication: Severe post-traumatic stiffness, bridging heterotopic bone, or prior surgery where nerves are encased in scar.

Technique: Column procedure or open exposure for thorough debridement, capsulectomy, and ulnar nerve neurolysis.

Indication: Loss of extension or flexion (>30° contracture) failing aggressive physical therapy.

Technique: Minimally invasive keyhole capsulectomy with high precision near vital neurovascular structures.

Indication: Complex rigid contractures with extensive periarticular scarring.

Technique: Open anterior and posterior release with mobilization of the brachial artery and median nerve.

Indication: Isolated extension loss due to anterior capsule fibrosis.

Technique: Resection of the anterior capsule from the distal humerus to allow full arm straightening.

Indication: Terminal flexion block caused by posterior contracture.

Technique: Release of the posterior capsule and triceps adhesions to restore deep flexion.

Indication: Posterior impingement and pain in terminal extension (common in throwers and gymnasts).

Technique: Trimming the mechanical bony beak on the tip of the olecranon process.

Indication: Anterior impingement blocking flexion.

Technique: Removal of bony spurs from the coronoid process of the ulna.

Indication: Floating bone or cartilage fragments causing sudden locking and joint damage.

Technique: Arthroscopic extraction from anterior and posterior joint compartments.

Indication: Degenerative arthritis, synovitis, or loose articular cartilage fragments.

Technique: Joint lavage, synovectomy, and smoothing of chondral defects.

Indication: Refractory stiffness following elbow fracture, dislocation, or prolonged casting.

Technique: Combined hardware removal, heterotopic ossification excision, and comprehensive capsular release.

Indication: Complete tear or chronic insufficiency of the medial UCL in baseball pitchers, javelin throwers, and overhead athletes.

Technique: The classic 'Tommy John' procedure: docking or figure-of-eight tendon autograft (palmaris longus or gracilis) reconstruction.

Indication: Acute proximal or distal UCL tears with healthy remnant tissue.

Technique: Primary suture anchor repair reinforced with ultra-strong collagen-coated tape for accelerated return to throwing.

Indication: Posterolateral rotatory instability (PLRI) where the elbow clicks, catches, or pops out during pushing up from a chair.

Technique: Tendon graft reconstruction restoring the primary lateral stabilizer of the elbow.

Indication: Acute traumatic avulsion following an elbow dislocation.

Technique: Suture anchor fixation of the lateral collateral ligament back to the lateral epicondyle footprint.

Indication: Chronic recurrent rotatory subluxation of the radial head on the capitellum.

Technique: Anatomical reconstruction of the lateral ulnar collateral ligament using tendon autograft.

Indication: Acute traumatic medial elbow disruption associated with fracture-dislocations.

Technique: Direct suture repair and anchor reattachment of the anterior bundle of the UCL.

Indication: Chronic valgus instability with attenuated native tissue.

Technique: Tendon graft reconstruction with anatomical bone tunnels.

Indication: Re-rupture or persistent instability following prior UCL or LUCL surgery.

Technique: Revision tunnel placement, revision graft harvesting, and biomechanical reinforcement.

Indication: Complete traumatic rupture of the biceps tendon at the elbow (sudden pop while lifting heavy load).

Technique: Anatomic reinsertion into the bicipital tuberosity of the radius using an endobutton and interference screw.

Indication: Chronic retracted tears (>4-6 weeks) where the tendon cannot reach its anatomical insertion.

Technique: Allograft or autograft tissue augmentation to bridge the tendon defect.

Indication: Avulsion of the triceps tendon from the olecranon after a fall on an outstretched hand.

Technique: Transosseous suture repair or knotless anchor fixation securing the tendon footprint.

Indication: Refractory lateral epicondylitis (Tennis Elbow) failing 6-12 months of conservative treatment.

Technique: Excision of pathological angiofibroblastic ECRB tissue and anatomical repair of healthy tendon.

Indication: Chronic medial epicondylitis failing injections and physiotherapy.

Technique: Debridement of degenerate flexor carpi radialis / pronator teres origin and footprint repair.

Indication: Failed prior epicondylar release or tendon repair with ongoing disability.

Technique: Scar excision, nerve decompression, and tendon augmentation.

Indication: Unexplained pain, catching, or occult intra-articular pathology.

Technique: Complete 360-degree joint visualization through safe anatomical portals.

Indication: Multicompartment joint disease requiring simultaneous treatment.

Technique: Multi-portal access for synovectomy, debridement, and capsule release.

Indication: Loose fragments blocking joint mobility.

Technique: Keyhole retrieval without extensive open dissection.

Indication: Inflammatory arthritis (rheumatoid) or recurrent synovitis.

Technique: Comprehensive removal of diseased synovial lining using motorized shavers.

Indication: Capitellar osteochondritis dissecans (OCD) in young gymnastics or throwing athletes.

Technique: Arthroscopic microfracture, drilling, fragment fixation, or osteochondral autograft transfer.

Indication: Early osteoarthritis with mechanical symptoms.

Technique: Smoothing of joint surfaces and removal of inflammatory cartilage debris.

Indication: Valgus extension overload syndrome with posteromedial osteophytes.

Technique: Targeted decompression of the olecranon fossa and spur excision.

Indication: Displaced, reconstructible Mason Type II/III radial head fractures.

Technique: Low-profile anatomical headless screw or mini-plate fixation.

Indication: Comminuted, non-reconstructible radial head fractures with ligamentous instability (terrible triad).

Technique: Metallic modular radial head prosthesis restoring lateral column length and valgus stability.

Indication: Coronoid base or anteromedial facet fractures compromising elbow stability.

Technique: Direct buttress plate or suture-lasso fixation securing the anterior buttress.

Indication: Complex 'Terrible Triad' injuries (dislocation + radial head fracture + coronoid fracture).

Technique: Systematic reconstruction: coronoid fixation, radial head repair/replacement, and LCL reattachment.

Indication: Severe rheumatoid arthritis, advanced degenerative osteoarthritis, or non-reconstructible distal humerus fractures in older patients.

Technique: Linked or unlinked semi-constrained elbow joint replacement with humeral and ulnar stems.

Indication: Malunions, nonunions, or chronic instability following severe previous trauma.

Technique: Corrective osteotomies, bone grafting, and hinged external fixation.