Elbow Dysplasia Surgical Option 1. Fragmentation of the Coronoid Process (FCP)

Question 1

What is FCP

Answer 1

This is a developmental defect of the one of the coronoid process (medial or lateral). As it develops a fissure/crack occurs and this bony protrusion separates from the rest of the bone. This separation causes pain and joint instability.

Question 2

Patient Prep

Answer 2

The patient is clipped from the shoulder to the carpus, including the circumference of the limb.

Question 3

Patient Positioning

Answer 3

The patient is placed in dorsal recumbency with the limb suspended for draping.

Question 4

Instruments and Materials

Answer 4

Arthroscope, micro curette and grasping forceps.

Question 5

Surgical Procedure

Answer 5

The loose fragment is best removed via arthroscopy or arthrotomy.

Question 6

Post op care

Answer 6

The patient should be rested, with minimal weight bearing for 8 weeks following surgery.