What to expect from elbow surgery varies, depending on the nature of the procedure being performed. Different surgeons also have widely different approaches, which is something else to keep in mind. When preparing for elbow surgery, it is a very good idea to sit down with the surgeon before the surgery to talk about the goals of the surgery, what will happen during surgery, and what to expect during recovery. Patients should also expect to meet with an anesthesiologist who will discuss anesthesia and pain management options and evaluate the patient for any risks which could make the procedure dangerous.
Before elbow surgery takes place, patients should expect some medical imaging studies which will be used to image the elbow to get an idea of what is going on inside before the surgery takes place. Blood will also be drawn for analysis to check for any risks, and the patient will be asked for a complete and detailed history which is designed to reveal any potential risks; even if something does not seem relevant to the patient, it should be disclosed. For example, an allergy to corn could be a problem because gloves are sometimes dusted with cornstarch.
Prior to the surgery, the patient will be asked to refrain from eating and drinking, to reduce risks from anesthesia. The patient will need to check into a hospital for the surgery, and will be asked to change into a hospital gown. The hospital may ask that all jewelry be removed, and the patient will be asked to sign a consent form to indicate that she or he fully understands the procedure and its risks. A nurse or technician will place an intravenous line, and the patient will be given some medications to relax.
When it's time for surgery, anesthesia will be induced by the anesthesiologist, who will monitor the patient during the elbow surgery. The length of the surgery can vary, depending on why it is being performed; something like elbow replacement, for example, will take longer than a surgery for tennis elbow, as a general rule. Once the elbow surgery is over, drugs will be administered to reverse the anesthesia, and the patient will be taken to recovery to be watched; it may be necessary to stay overnight after elbow surgery.
Because anesthesia can compromise the airway, patients are asked to blow into a peak flow meter periodically while in recovery to check on their airways. Patients are also usually directed to practice breathing exercises during recovery, and they are given prescriptions for antibiotics to prevent infections, and pain management medications for the first few days after surgery. After some surgeries, the elbow may be immobilized with a cast or a sling to protect the elbow while it heals. Once the cast or sling can be removed, the patient can have physical therapy to strengthen the elbow and help it recover.