Elbow Fracture Fixation

Elbow fracture fixation is a surgical procedure that realigns and stabilises broken bones in the elbow joint using metal implants. The procedure restores proper bone alignment and joint function, allowing patients to regain elbow mobility through a planned rehabilitation programme. The surgery addresses fractures in any of the three bones that form the elbow joint: the humerus (upper arm bone), ulna, and radius (forearm bones).

doctor img
Dr Dennis Ng Zhaowen
image

Indications for Elbow Fracture Fixation

Various elbow injuries and conditions may require surgical fixation to ensure proper healing and function. These include:

  • Displaced Fractures: Bone fragments have moved out of their normal position, requiring realignment and stabilisation to heal correctly.
  • Unstable Fractures: Breaks that are likely to move during the healing process, preventing proper bone union without surgical intervention.
  • Open Fractures: Fractures where bone has pierced through the skin, requiring immediate fixation to prevent infection and ensure proper healing.
  • Intra-articular Fractures: Breaks that extend into the joint surface need precise alignment to reduce the risk of post-traumatic arthritis.
  • Multiple Fragment Fractures: Complex breaks involving several pieces of bone that require stabilisation to maintain proper anatomical alignment.

Benefits of Elbow Fracture Fixation

Elbow fracture fixation provides several advantages for patients with severe or complex elbow fractures.

  • Anatomical Alignment
    Surgery ensures bones heal in their correct position, maintaining proper joint mechanics and function.
  • Earlier Mobilisation
    Stable fixation allows patients to begin controlled movement sooner, reducing the risk of joint stiffness.
  • Reduced Healing Time
    Internal fixation provides stability that can speed up the bone healing process compared to non-surgical treatment.
  • Joint Preservation
    Accurate reduction of joint surfaces helps prevent post-traumatic arthritis and maintains long-term elbow function.

Surgical Techniques

Plate and Screw Fixation

Metal plates are attached to the bone surface using screws. This technique provides strong stability for complex fractures and allows anatomical reconstruction of the joint surface. The surgeon places the plate along the bone’s length, securing it with multiple screws above and below the fracture site.

Intramedullary Nailing

A metal rod is inserted into the bone’s canal to provide internal support. The nail spans the fracture site and is secured with screws at both ends. This method works well for shaft fractures of the humerus and provides good stability while being less invasive than plating.

External Fixation

Pins or wires are inserted through the skin into the bone and connected to an external frame. This method suits open fractures or severe soft tissue injuries where internal fixation may increase infection risk. The frame can be adjusted to maintain alignment during healing.

Surgery Preparation

Medical Assessment

A thorough evaluation includes blood tests, heart function tests, and imaging studies of the elbow. The surgeon reviews medical history, current medications, and any existing health conditions that may affect surgery or recovery.

Medication Adjustments

Certain medications, particularly blood thinners, need adjustment or temporary discontinuation before surgery. The surgeon provides specific instructions about which medications to stop and when.

Fasting Guidelines

Patients must refrain from eating or drinking for 6-8 hours before surgery. Clear liquids may be consumed up to 2 hours before the procedure, depending on the surgeon’s instructions.

SCHEDULE AN APPOINTMENT WITH US

Are Your Symptoms Affecting Your Quality Of Life?

Consult our MOH-accredited elbow specialist for an accurate diagnosis & personalised treatment plan.

Step-by-Step Procedure

Anaesthesia Administration

General anaesthesia is typically used, ensuring the patient remains sedated and pain-free throughout the procedure. Vital signs are continuously monitored to maintain stability.

Surgical Incision

An incision is made over the fracture site, with precise care taken to avoid damage to surrounding nerves, blood vessels, and soft tissues. The surgical approach is determined by the fracture’s location and the specific fixation technique chosen.

Fracture Reduction

The surgeon manipulates and repositions the bone fragments to restore their natural alignment. Intraoperative X-ray or fluoroscopy imaging is used to verify the correct positioning of the fragments before moving forward with fixation.

Internal Fixation

The selected fixation method, such as plate and screw fixation or intramedullary nailing, is used to stabilise the fracture. The surgeon ensures the fragments are securely held in place, and additional imaging confirms the proper placement of the implants and alignment of the bone.

Wound Closure

The surgical area is thoroughly cleaned to reduce the risk of infection. The incision is then closed layer by layer, ensuring proper approximation of the tissues. A sterile dressing is applied to the wound, and a splint may be placed to protect the elbow and maintain immobilisation.

Post-Surgical Care and Recovery

Immediate Post-operative Care

After surgery, pain management begins with prescribed medications to control discomfort. The arm is kept elevated to minimise swelling. Circulation, sensation, and movement in the fingers are closely monitored to ensure proper blood flow and nerve function.

Early Recovery Phase

Physical therapy usually begins within the first few weeks. Initial exercises are mild, aiming to preserve mobility while avoiding stress on the healing fracture. A protective splint or brace is commonly used between sessions to keep the elbow stable and aid recovery.

Rehabilitation Programme

As healing progresses, a structured rehabilitation programme is implemented, gradually incorporating more advanced exercises. These exercises aim to restore the range of motion, rebuild muscle strength, and improve overall joint function. The plan is tailored to the patient’s recovery pace, ensuring steady but safe improvement.

Potential Risks and Complications

Elbow fracture fixation carries risks including infection at the surgical site, nerve or blood vessel injury, and hardware problems such as loosening or irritation. Some patients may develop stiffness or reduced range of motion despite appropriate rehabilitation. Delayed bone healing, or failure of the fracture to heal properly, can occur, especially in patients with poor bone quality (such as those with osteoporosis) or highly complex fractures.

WHY CHOOSE DR DENNIS NG

Effective & Evidence-Based Orthopaedic Care

Dr. Dennis Ng is dedicated to understanding your unique needs, focusing on restoring
your active lifestyle and overall well-being.

img

Specialised Experience In Complex Procedures

img

PATIENT-CENTRED & PERSONALISED APPROACH

img

Dedicated Aftercare For Optimal Recovery

img

AFFORDABLE & TRANSPARENT PRICING

Dr Dennis Ng Zhaowen

  • Senior Consultant Orthopaedic Specialist
MBBS (Singapore)
|
MRCSEd
|
MMED
|
FRCSEdOrth (Gold Medal Award)

Before private practice, Dr Dennis Ng was the former Deputy Head of the Shoulder & Elbow Division and Sports Knee Division in National University Hospital.

He completed his fellowship at the prestigious Fowler Kennedy Sports Medicine Centre in London, Ontario, Canada, and has rich experience treating professional athletes and returning them to sports. 

Special areas of interests include keyhole and reconstructive procedures of the knee and ankle. 

Common procedures include ACL Reconstruction, Meniscus repair, Cartilage resurfacing, Knee preservation etc.

Insurance

Our clinic is on the specialist panels of the following Health Networks/Insurance Plans, and we are happy to assist with your claims or
attend to any query you may have.

Personal Insurance

Corporate Insurance

Contact Us Today

Please send us a message, and our friendly clinic staff will get back to you shortly.





    Visit Us Today

    Mount Elizabeth Novena Specialist Centre

    38 Irrawaddy Road #08-41
    Singapore 329563

    Monday – Friday: 9am – 1pm; 2pm – 5pm
    Saturday: 9am – 1pm
    Sunday & PH: CLOSED

    Other Clinic Location

    Gleneagles Medical Center

    6 Napier Road #07-15
    Singapore 258499

    Monday – Friday: 9am – 1pm; 2pm – 5pm
    Saturday: 9am – 1pm
    Sunday & PH: CLOSED

    Frequently Asked Questions (FAQs)

    Will I regain full strength in my elbow after surgery?

    While most patients regain functional strength and mobility, the extent of recovery depends on factors such as the severity of the fracture, adherence to rehabilitation, and individual healing capacity.

    Are there any alternatives to surgery?

    Non-surgical treatments, such as casting or splinting, may be an option for certain types of fractures. However, surgery is often recommended for displaced, unstable, or complex fractures to ensure proper healing and function.

    What long-term limitations might I experience?

    Most patients regain functional range of motion, though some may have slight restrictions in extreme positions. Regular exercise and following rehabilitation guidelines optimise long-term outcomes.

    +65 9751 1486