Elbow Surgery

Patients may require surgical procedures in and around the elbow for a myriad of different reasons – there may be significant persistent pain or stiffness after an injury to the elbow that was managed non-surgically, there may be issues within the joint that are causing ongoing pain and difficulty with activities of daily living in the affected arm or the patient may have developed primary arthritis in or around the elbow joints which is limiting their range of motion and causing significant pain.

Warning Signs you may need Elbow Surgery

If any of these symptoms apply to you then you may need further assessment by a specialist orthopedic surgeon to determine exactly what the cause of these symptoms are and what the most appropriate management strategy will be.

Who is a good candidate for Elbow Surgery?

As previously mentioned, the most common reasons requiring elbow surgery are posttraumatic arthritis and/or deformity, development of osteochondral lesions or defects in and around the joints or primary elbow osteoarthritis causing pain and stiffness.

If you suffer from any of these conditions, then there are surgical procedures that we offer that could potentially be of significant benefit to you and we would encourage you to contact our surgeons if you feel that this may be the case.

Elbow Surgery Procedures

Depending on your diagnosis, you may be a candidate for one of a number of surgical procedures indicated in the treatment of conditions in and around the elbow. Below, we will cover some of the more common elbow complaints and how these can be addressed with surgery.

If you have experienced an injury or some type of fracture in and around the elbow in the past and it has gone on to heal, but developed either posttraumatic arthritis or deformity that is causing ongoing stiffness and pain then you may be a candidate for elbow replacement surgery.

Generally speaking, elbow replacement surgery is reserved for patients who have a very low level of physical demand in their activities of daily living as the postoperative restrictions from a total elbow replacement include lifting not greater than 5 pounds of weight in the operative arm for life. They are also generally restricted to patients who are older, given that these patients are more likely to live more sedentary lifestyles and that will put less strain on the components of the elbow replacement itself.

Certain conditions such as osteochondral lesions or loose bodies in and around the elbow joint may be addressed via arthroscopic surgery of the elbow. This involves placing a camera into the elbow in a similar fashion to placing cameras in other joints such as the knee or the shoulder. We visualize the joint itself, diagnose the underlying issue and subsequently treat it through various potential surgical means.

This is a common surgical procedure to have in the elbow and usually is suitable for most patients with no real age restriction to the procedure and no conditions of low level of activity or demand in and around the elbow in terms of the patient’s activities of daily living.

Patients who have elbow arthritis that is primary in nature and not as a result of an injury to the elbow may also be candidates for elbow replacement surgery. However, there are a number of other surgical procedures that can address things like stiffness and pain which can include replacements of specific parts of the joint (such as the radial head) or procedures that involve removing significant blocks to range of motion including major osteophytes, abnormal anatomy and deformities, and excision of the elbow capsule itself.

Elbow Surgery Complications and Risks

Each procedure that we have mentioned carries its own specific set of risks and complications that go with it. For example, total elbow arthroplasty patients must be counseled with regards to the limitations of the implants in total elbow arthroplasty and must adhere to the postoperative restrictions placed upon them. If they do not adhere to these restrictions, research has shown that elbow arthroplasty components have a higher level of aseptic loosening which may lead to revision surgery in the elbow, which is associated with poorer outcomes.

Elbow arthroscopy has a significant list of potential complications that mostly involve the nerves and blood vessels surrounding the elbow and the various arthroscopic portals that may be used to address problems in the elbow using the arthroscopic instruments.

As with any surgery, infection and injuries to nerves and blood vessels are always complications to be aware of and in patients who undergo surgery for elbow arthritis, the risk of heterotopic ossification should also be discussed. Surgeons can minimize these risks using either postoperative antiinflammatory medication regimens, or radiation therapy.

As with many arthroscopic procedures, elbow arthroscopy recovery is usually fairly swift – within two to six weeks following the surgery the patient should be back to their baseline level of function with hopefully improved levels of pain or reduction of preoperative symptoms.

More invasive procedures such as elbow arthroplasty carry with them a higher rate of complication and the standard arthroplasty complication discussion should be had with the patient including heart attack, blood clots, stroke, infection, neurovascular injury, aseptic loosening and the possibility of intraoperative fracture.

Fortunately, these complications are also very rare and ultimately successful surgery will mean that full recovery is usually achieved by most patients by around 3 to 6 months.

Elbow Surgery Recovery Exercises

One of the most important things to stress to the patient when discussing elbow surgery is the importance of maintaining good range of motion in the elbow for as long as possible and not succumbing to postoperative stiffness as the elbow joint is want to do whenever surgical procedures are undertaken in and around this area. It will most likely be necessary to undergo some form of physical therapy and this will focus on maintenance of range of motion in both supination, pronation, flexion and extension.

One of the most common complications experienced by patients irrespective of their elbow surgery is loss of terminal extension of the elbow, i.e., not being able to fully straighten their arm afterwards. This is usually resolvable with early and aggressive physical therapy, but some patients may notice that they lose terminal 5 to 10 degrees of extension and this is very common in the setting of elbow surgery and should not be considered a failure of the surgical procedure.

Conclusion

Elbow surgery is remarkably different from any other part of the body and the elbow joint itself is very unique in terms of its anatomy and function. As such, each elbow surgery should be customized and tailored to the patient specifically as well as their underlying complaints and each specific procedure will be associated with a series of specific complications and risks, all of which should be explained to the patient fully during the consenting process.

With that being said, elbow surgery is not for everyone and there are a number of conditions that can be managed conservatively without any kind of surgical procedure. If you have concerns about any elbow symptoms you might be experiencing, we encourage you to contact us at our offices and arrange to see one of our specialist orthopedic surgeons who will fully assess you and explain your diagnosis to you, including discussion of any potential surgical procedures that may be an option to you as well as alternative nonsurgical management strategies.

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Based on 93 reviews
Dr Vaksha, is a great doctor very professional knows what he talking about. Treat patient with upmost respect. Thank You
Troy Spencer
16:46 19 Jan 23
Dr. Karkare is an amazing doctor, very caring and attentive, the girl at the front desk is very kind and helpful. .elizabeth .thank you so much .
blanca ventura
21:32 26 Oct 22
Been going to this place before my accident and after I had my knee surgery. So happy how I been treated and how well I am getting. Thank you all and specially Dr. VAKSHA for everything and getting back on track.
Ita Opico
19:01 25 Oct 22
Love this place From the minute I called I was treated kindly. When I arrived The Dr saw me right away he was compassionate and ordered the appropriate tests for me. I came back in for my follow up and had the same great experience.
Christine Rostock
21:28 23 May 22
Dr Vaksha and Dr karkare are 2 of the best orthopedic doctors around my wife Susan had a very serious broken ankle in March of 2019 she didn't think she was going to walk again Dr vaksha did an excellent surgery on her ankle he said it was his toughest he ever did he put a lot of hardware in her ankle and told her she would be alright she made remarkable recovery thanks to his surgery as of now she regained 100 percent use of her ankle she would highly recommend him to anyone. My own experience with Dr karkare has been wonderful he takes his time with you listens to what you have to say and prescribes various treatments and is very caring I would highly recommend him to anyone I would give both doctors a 10 plus rating we are very happy with them the best.
Harry Jones
23:31 19 May 22
Complete orthopedics is a wonderful place to go when you hurt or injured a great staff and wonderful doctors very knowledgeable and helpful I would recommend this place to all of my family and friends that is in me of orthopedic care I give them 10 thumbs up
Wayne Pemberton
17:39 18 May 22
The staff is very professional and helpful. Dr. Vaksha is excellent. He takes time to listen and offer suggestions to help you get better. I’m very thankful and happy to be a patient here at Complete Orthopedics.
Phoenix Rising
19:54 16 May 22
Dr.Karkare is the best. He listens to everything and explains everything I recommend him to everyone. I am so happy he is my doctor.
Myrna James
00:48 13 May 22
Dr.Kuo is amazing very attentive,caring,and passionate and staff is awsome too.Thank you for everything Dr.kuo.
Erick Murillo
23:17 12 May 22
I was in a car accident November 1 I was referred to Dr. Vaksha For shoulder surgery . I he was amazing he made me feel very comfortable and explained everything that was going to happen from surgery all the way through my physical therapy highly recommend Dr. Vaksha
Yolanda Ojeda
19:37 09 May 22
My appointment with Dr. Vaksha was amazing. Dr. Vaksha was very thorough and kind. I would refer this office to anyone who needs a great orthopedic doctor.
John Senechal
19:54 05 May 22
Scheduling my appointment was quick and easy. The staff was super friendly and down to earth. I was seen on time. The appropriate test, “x-rays” were taken before the conversation with doctor, something I really liked, test for analysis and conversation was done upfront. Dr. V had a great personality and was no BS, straight forward diagnosis and a play on next steps. I am happy I found them and would refer them to friends and family.
Sam
00:46 03 May 22
I have seen Dr. Kuo two times already and he's awesome along with his staff. Very friendly office and I'm glad to be a patient here.
Camaris A
20:01 28 Apr 22
Amazing team!! Very caring, profesional, and friendly!! Dr. Kevin Kuo, you are the best, very passionate, caring, and helping thank you for getting me better and being so kind to me! Elizabeth you the best thank you for you help always and you big smile and positive actitud❤️🙏🏼
breidy valerio
19:01 22 Apr 22
The staff is truly exceptional, they make you feel comfortable and welcomed. The doctors are amazing,always professional, compassionate and great listeners.
Elizabeth Collado
03:25 09 Apr 22
What a great place! The place is clean and organized.The staff is wonderful. Setting up physical therapy is right there as well.I'm so glad I found this place.
Donna Anne
22:45 05 Apr 22
This was my 1st time breaking something in my 27 years on this planet. I was recommended here by a friend Dr. Vashka helped me from day 1 and still continues to check in on me and my healing ankle. Would highly recommend
tyron davis
16:06 01 Apr 22
Brand new office, same great doctors! Rooms are clean, plenty of parking, physical therapy attached, Dr. Karkare and his staff are awesome. Thank you!
Emily B
02:49 24 Mar 22
Dr.VAksha is the best, I love the way he treats me as his patient, he is caring,understanding and very attentive to my needs
Mirna Caballero
14:53 03 Mar 22
Great staff. Dr. Vaksha is awesome and takes the time to listen to his patients. He is very compassionate. I would highly recommend this office.
Bebe Doyle
01:24 23 Feb 22
After suffering from a severe ankle injury Dr. V was able to help me heal and return back to work completely to a job where I stand for 12 hours a day. The office is very clean and I appreciated the reminders of my appointments via phone call and through text. The patient portal made it easy for me to access all my documents including work notes. The office staff is wonderful and Rebecca was able to schedule me with a busy schedule and awesome at answering all of my questions including referring me to a great physical therapy office. I highly recommend this office to anyone who’s looking for knowledgeable and kind orthopedic office.
Elizabeth Birchwell
21:31 28 Jan 21
The staff here are great, I was seen at the time of my appointment and was well taken care of!
Shaun Berry
18:14 07 Jan 21
They are an excellent practice. The front and back office people are amazing and so helpful. Rebecca is such a kind and understanding person. I had an issue with paperwork and she cleared it right up. Dr. Karkare is very knowledgeable, helpful, and caring.
Matt S.
19:31 18 Nov 20
Rebecca K. - What a true burst of sunshine. Very friendly and definitely an asset to the practice!
Laura Aston
18:17 17 Nov 20
Great experience, the Doctor is nice but the staff is incredible. I worked with Linda, who was profession and assisted me beyond what any person has done at other practices. Complete Ortho should be complimented for having such a person on their staff.I highly recommend this place!!!
Joe Allen
17:26 17 Nov 20
Linda and Becca they are so good ever time I come they are very nice I would tell everyone I no to come to this office..
Barbara Victor
16:45 17 Nov 20
I was rear ended in an auto accident , Dr Vashka was recommended by a friend of mine .I was experiencing Back , neck , and shoulder pain . After a thorough examination and given exercises to do at home , I am feeling much better , and I ended up avoiding surgery . The staff at Complete Ortho is extremely attentive and show great care when making an appointment and are very friendly and i never waited more than 5 minutes for my appointment . So I would strongly recommend Complete Orthopedics for any aches and pains that one might be experiencing.....
Bill Becht
04:44 17 Nov 20
It was the afternoon of Friday Sept. 24. We were in Pt. Jefferson and my wife, Mary Ann, broke her hip. We went to Mather Hospital and it was determined that she would have to have an operation to have it repaired. This would be her third time under the knife in the past year. It just so happened that we were very fortunate enough to have Dr. Karkare, who was on standby, perform the surgery. He put in a rod and two screws in her hip. She spent a few days in the hospital and then went to Gurwin rehabilitee for another few weeks.It has now been almost six weeks and we both worked the election the other day. If it wasn’t for Dr. Karkare’s expertise she never would have been able to work. She is able to walk with a walker and is doing physical therapy three times a week.We can not thank the doctor enough for the compassion and dedication that he puts into his work. It allows Mary Ann do the things that she likes to do, even on a limited basis for a while. I know that with her will, perseverance and the great work that the surgeon performed she will be back on her feet in no time.Sincerely:John V. PlumpEast Northport, NY 11731
Jack Harris
14:36 06 Nov 20
In the year of 2018 I was referred to Dr. Karkare because I was experiencing severe knee joint pain. After exhausting physical therapy and trying to labor through the pain, I had to make a quality of life decision. Total knee replacement was the only viable option. Dr. Karkare made my decision easy as he walked me through the whole process from surgery to recovery.On 12/13/19 ( Friday the 13th) I enter Lenox Hill Hospital in great hands. From the time I entered Dr. Karkare’s office for the first time until now, his staff has been amazing. Andrea the medical coordinator walked me through all the paper work and necessary preparations for the surgery. Courtesy and kind would be an understatement. Dr. Karkare went over and beyond from the wellness checks and phone calls all to assure me that I was important to him. This was the right decision no pain and no limp. Complete Orthopedics should be your choice!
Kenneth Randolph
22:18 25 Sep 20
Dr. Vadshka has a great bedside manner. He really takes his time and explains treatment options.
T Lee
12:33 09 Sep 20
I suffered with pain in both knees for years. My orthopedic doctor kept recommending knee replacement . I fought it for years, as I was just afraid. When I had no choice and could barely walk , it was recommended I see Dr. Karkare. We set up a consultation and my wife and I left his office feeling totally confident and comfortable with moving ahead with the surgery. He explained everything to us, and the office staff set everything up for us and made the process easy. So about one month after our initial meeting I had the first knee done. I was up walking mere hours after the surgery, and on the workout machines the next morning. I went home two days after the surgery, and yes walked my daughter down the aisle at her wedding only one week after the surgery without even a cane! Three months later I had the other knee done and went home the very next day. Dr. Karkare put my fears to rest . I would highly recommend him. His expertise gave me my life back. Thank you Dr. Karkare.SincerelyVito Congro
Ethel Congo
23:58 12 Aug 20
Dr Rhodin really cares for his patients. When I see him he makes sure to review my progress in detail.
Micki Cahill
15:03 08 Feb 20
My mom had a total hip replacement by dr karkare. He is the BEST orthopedic doctor.Her incision is almost invisable.She is going back for her other hip next week. The office staff is the best, love Andrea.You wont find a better doctor.
Ryan Brigandi
21:06 13 Jul 18
There is no better Orthopedic doctor you will find. Broke my ankle three places on a Saturday. Called Dr. Karkare. He had is team ready at the hospital and operated on me within 6 hours after my injury. Now After 3 months of great care by him and his staff, I am walking to normalcy.
Spacecom Tel
04:13 23 Mar 18
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I am Vedant Vaksha, Fellowship trained Spine, Sports and Arthroscopic Surgeon at Complete Orthopedics. I take care of patients with ailments of the neck, back, shoulder, knee, elbow and ankle. I personally approve this content and have written most of it myself.

Please take a look at my profile page and don't hesitate to come in and talk.