Prone Elbow Arthroscopy

Abstract

Introduction:In the last years the elbow arthroscopy reports have increased. It is very important to perform meticulous portals technique, appropriate selection thereof, and precise diseases treatments. The surgical technique has been described in different decubitus (dorsal, lateral and ventral). According to F. Savoie and L. Field, we believe that the prone position allows anterior and posterior access simultaneously, comprising the entire joint. The aim of the study is to describe our experience in the prone position in the last 10 years, analyzing indications, patient satisfaction and complications.Material and Methods:We retrospectively analyzed case series of surgeries in the last 10 years. We performed 31 elbow arthroscopies, 24 men and 7 women, the most common sport was rugby followed tennis.Results:The most common pathology was anterior and posterior post-traumatic joint stiffness (12 cases), 7 epicondylitis with joint involvement, 7 articular fractures, five loose bodies with osteochondral lesions. One year after surgery, 95% of patients were satisfied with the outcome. Complications, transient palsy in 2 patients, which recovered ad integrum, due to compression secondary to high cuff tire pressure.Conclusion:We believe the prone position elbow arthroscopy technique is ideal for solving most of the surgical indications. Although the high potential of complications ought to important structures proximity, a profound anatomical knowledge and skill arthroscopic make it a safe and reproducible technique.