Growth plate fractures occur when a bone breaks. Fractures frequently occur at the junction of these two types of cartilage where the structural matrix of uncalcified cartilage is weaker and less resistant to stresses and strains than the calcified cartilage. The physis consists of calcified and uncalcified cartilage. When a person stops growing, usually in mid to late adolescence, the growth plates close or fuse to form solid bone.įractures often occur through the growth plate. It is here that cartilage divides and calcifies which adds length and breadth to all the bones in growing individuals. Unlike adults, whose growth plates are closed, a child or adolescent is at risk for a fracture through the growth plate.Ī growth plate, also called a physis or physeal plate, is a section of cartilage located at the ends of the long bones in children and teenagers. March 17, 2022.A broken bone ( fracture) in a child or adolescent must be scrutinized. Total joint replacement for severe rheumatoid arthritis. Long-term outcomes of total elbow arthroplasty: A systematic review of studies at 10-year follow-up. American Academy of Orthopaedic Surgeons. Your health care team will explain how to do exercises to help your recovery. You may also need a temporary device called a drain to avoid pooling of fluids at the elbow. You may need to wear a splint or a sling for a few days or weeks after surgery. How long you stay in the hospital after surgery depends on your individual needs. After the procedureĪfter surgery, you'll rest in a recovery area for a short time. The nerve block numbs your arm so that pain control can continue after you wake up from general anesthesia. General anesthesia puts you into a deep sleep. Most people get general anesthesia and a nerve block. During the procedureĪ care team member will talk with you about how you'll be sedated for surgery. What you can expect Before the procedureįollow your surgeon's directions about bathing, eating and taking medicines the day before and the day of surgery. You'll be asked about your medical history and your medicines. Other members of the health care team will assess your readiness for surgery. Will I need to have someone help me at home for a while?.How will my activities be restricted after surgery?.What kind of physical therapy will I need?.How will my pain be managed after surgery?.What type of implants do you recommend?.Some questions you may want to ask include: X-rays and occasionally computerized tomography (CT) of your elbow.Surgery is sometimes needed to treat an infection.īefore surgery is scheduled, you'll meet with your surgeon for evaluation. Infection can occur at the incision site or in the deeper tissue. Nerve damage can cause numbness, weakness and pain. Nerves in the area where the implant is placed can be injured. The bones in the elbow joint can break during or after surgery. If this happens, another surgery may be needed to replace the loose components. Elbow replacement components are durable, but they may loosen or become worn over time. Potential complications of elbow replacement surgery include: The surgery may not fully restore the movement or strength of the joint. If the surrounding ligaments aren't strong enough to hold the joint together by themselves, the surgeon may use a linking cap so that the artificial implants can't come apart.Īlthough it's rare, it's possible that elbow replacement surgery won't lessen the pain or make it go away completely. The long, slender ends of the artificial parts are inserted into the softer central part of the bones. Bones are hard tubes that contain a soft center. If the entire joint needs to be replaced, the ends of the bones that come together in the elbow will be reshaped. For example, if only the head of one of your forearm bones (radius) is damaged, it can be replaced with an artificial head. In some cases, you may need a replacement of just one portion of the joint. Pain and loss of motion are the most common reasons people choose to have elbow replacement surgery.Ĭonditions that can damage the joint include: However, if the damage is too severe, replacement is typically better. In many cases, the damage from arthritis and fractures can be surgically repaired. Your elbow can be damaged by conditions ranging from arthritis to fractures and other injuries.
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