As for other large joints, keyhole surgery techniques are now capable of addressing many conditions. Elbow arthroscopy is able to provide your surgeon with an excellent view of the structures inside your elbow and keyhole techniques can be employed to address: loose body removal; tennis elbow release; elbow Arthrolysis; elbow Impingement surgery (Osteoplasty) and radial head resection.
The procedure is performed under general anaesthetic. Local anaesthetic is infiltrated into your joint. The Arthroscope and instruments are then carefully inserted into your elbow joint through tiny incisions. Your joint surfaces are inspected and any problems identified and managed accordingly.
View of antero-lateral aspect of elbow, with arthroscope passed through antero-medial portal. Needle passed into joint through lateral side
This is a view of the posterior elbow compartment. A loose body (highlighted with dashed line) is floating in this compartment. This was removed to treat clicking, pain and locking of the elbow.
This is generally a safe procedure, but there are some specific risks relating to arthroscopy of the elbow:
Nerve injury is slightly more common after keyhole surgery to the elbow, although this is normally a temporary problem. The nerves that cross your elbow pass close to the entry points for the Arthroscope and surgical instruments. The way Mr Granville-Chapman accesses and operates within your elbow is designed to minimise the risk of nerve injury. However, injury to nerves may still occur.
The ulna nerve passes just behind the inside knuckle (medial epicondyle) of your elbow. Permanent injury is very rare, but temporary altered sensation in your little and ring finger can occasionally occur. If the nerve is injured more severely it could also produce weakness of grip in your hand.
The posterior interosseous nerve is a motor nerve that supplies many of your forearm and finger muscles. It runs within a muscle very close to your elbow and is potentially vulnerable. Again, permanent injury is very rare, but if it were to happen, this could cause significant weakness in your wrist and hand that might require reconstructive surgery.
Infection is rare after keyhole surgery (<1%)
Wound healing problems are uncommon and Mr Granville-Chapman will suture your portal sites to minimize this risk.
This is normally a day case procedure. You may take down your bulky bandages after 3 days, but please keep your wounds dressed for 14 days. You can shower after 4 days with your dressings on. Please begin your painkillers as soon as you get home and continue them regularly for the first few days. Unless told otherwise, you can begin gentle elbow motion the day after your surgery and discard the sling when comfortable.
You will be seen two weeks after surgery and thereafter according to your needs.
Return to work and normality will vary depending on what’s been done in your elbow and your own pace of recovery. As a minimum, you should plan 2 weeks off work and driving, but you may require longer.
Mr Granville-Chapman was very polite and his examination and explanation of my symptoms and expected treatment was thorough
I found Mr Granville-Chapman to be very knowledgeable and professional. He put me very much at ease and explained all the options that I have thoroughly. He also told me to look for further information on the condition and procedures that I needed on his website, which gave lots of information and detail. It was also easy to understand for those without a medical background. I would highly recommend his services to anyone that has shoulder problems and requires a solution.
I attended for a repair of my right bicep tendon. After a thorough examination, Mr Granville-Chapman arranged an operation to be undertaken within 2 days which was extremely quick; he explained his reasoning which was both thorough and reassuring, explaining both the options of undergoing surgery and deciding to undertake conservative management.On the day of the surgery Mr Granville-Chapman was again very reassuring as although this is minor surgery I was still somewhat apprehensive. He came to fully explain the procedure and afterI woke up was quick to check on how I was doing.Overall I am very happy with the careMr Granville-Chapman
I have been very pleased with my treatment so far. Mr Granville-Chapman combines brisk efficiency with a pleasant, sympathetic manner. My operation, however, is still to come ...
From the initial consultation, through surgery on a fractured wrist, and now post-operative follow up, it has been a very positive and reassuring experience with Mr Granville-Chapman. I would have no hesitation in recommending him to someone else.
A first class clinician. A skilled surgeon with an excellent bedside manner.
A very pleasant Consultant who knows exactly how to make pain go away.
Mr Granville - Chapman has an excellent bedside manner. He engaged with my 12 year old son at an appropriate level and took the time to ensure that he understood the procedure and answer all his questions. He is thoroughly professional and I would not hesitate to recommend him.
I have been very pleased with the attention I have received. Mr. Granville-Chapman has reassured me that my symptoms are normal. It is very easy to make appointments that suit me.
Mr Granville chapman I found be caring informative and professional I would recommend him to all if you have a problem don't hesitate to contact him you won't be disappointed.
I recently broke my right clavicle in a mountain bike accident and it was repaired by Mr Granville-Chapman by adding a plate on top of the bone. Having just finished the last post-op consultation, I can confirm that I have been very happy with the process all along. In particular, Jeremy took time to explain in detail why a plate was needed, what the procedure would entail, and also was very patient answering my questions comprehensively beforehand and after during the recovery phase. Would certainly trust this competent surgeon to fix any future fractures I might sustain.
Mr Granville-Chapman has looked after my 15 year old son brilliantly, explaining the surgery, recovery and best way forward, and Kate has been very supportive helping with logistics etc, thank you so much.
So far my experience with Mr Jeremy Granville-Chapman has been personal and informative with regard to the operation I will be having. I feel confident that my operation will be a success and for this reason I am very happy to have Mr Jeremy Granville-Chapman as my consultant.
Very knowledgeable and helpful. Takes the time to make sure you're getting the treatment you need.
Mr Jeremy Granville -Chapman is not only a highly skilled consultant but is able to put you straight away at ease .My appointments were arranged very swiftly which was great, when you are experiencing severe pain. I am very happy with my treatment so far . many thanks to everyone who was involved in my treatment.
Polite, helpful, professional. Makes an effort to ensure full understanding of issues and procedures to be done. Highly satisfied
Very pleasant. Clear, careful explanations & options/possibilities. I feel well informed, and happy that my concerns are being well addressed, with a plan of review of the symptoms.
Excellent advise with everything explained clearly and a successful treatment which has benefited be greatly.
BMI The Princess Margaret Hospital
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Wexham Park Hospital, Slough, Berkshire, SL2 4HL
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