Complications in Elbow Arthroscopy: Management and Prevention

Background: This research addresses the complications that may arise from elbow arthroscopy, a minimally invasive surgical procedure used for diagnosing and treating various elbow conditions. While this method is generally considered safe, complications such as nerve injuries, infections, and stiffness can occur, affecting patient recovery and satisfaction. The goal of this study is to provide a comprehensive overview of the types and incidence of complications associated with elbow arthroscopy, along with strategies for managing and preventing them. Methods: The authors conducted a systematic review of the literature focusing on studies published over the past ۱۶ years that reported on complications related to elbow arthroscopy. They included articles from peer-reviewed journals that met specific eligibility criteria, such as providing evidence from levels I to IV and being relevant to adult patients undergoing elbow arthroscopy. Data on complication rates, types of complications, patient demographics, surgical techniques employed, and follow-up duration were extracted. This review aimed to consolidate findings from multiple studies to identify common risk factors and effective preventive measures. Results: The review revealed an overall complication rate of approximately ۱۱%, with postoperative stiffness being the most common issue at ۴.۵%. Nerve injuries accounted for about ۳.۴% of cases, with ulnar nerve injuries being the most frequently reported type. Additionally, serious complications such as joint space infections occurred in only ۰.۸% of cases, while minor complications included prolonged drainage from portal sites and transient nerve palsy. The analysis identified key risk factors for complications, including underlying conditions such as rheumatoid arthritis and pre-existing contractures. The authors emphasized that while serious complications are rare, awareness of potential risks is essential for both surgeons and patients. Conclusion: In conclusion, elbow arthroscopy is generally safe; however, it carries a significant risk of complications that can impact recovery outcomes. The findings highlight the importance of thorough preoperative assessments to identify high-risk patients and implement appropriate preventive strategies. By adhering to best practices in surgical techniques and postoperative care, physicians can reduce the incidence of complications related to elbow arthroscopy and ultimately improve patient outcomes and satisfaction.

کلیدواژه ها:

Elbow Arthroscopy ، Complications ، Nerve Injuries ، Postoperative Stiffness ، Joint Space Infection Risk Factors