Accessibility Tools

Revision Elbow Replacement

Revision Elbow Replacement in Colorado Springs, CO

If you are experiencing persistent elbow pain, instability, implant loosening, or complications following a previous elbow replacement, revision elbow replacement surgery may help restore comfort and function. At Colorado Springs Orthopaedic Group, our orthopaedic specialists provide comprehensive evaluation and advanced surgical solutions for patients whose initial elbow replacement is no longer performing as intended.

Serving patients throughout Colorado Springs, Monument, Falcon, Fountain, Woodland Park, and surrounding Southern Colorado communities, our team specializes in diagnosing and treating complex elbow conditions. We create personalized treatment plans designed to relieve pain, improve mobility, and help patients return to daily activities with greater confidence and function.

Whether your symptoms are caused by implant wear, infection, instability, fracture, or prosthesis failure, our experienced surgeons are dedicated to delivering high-quality orthopaedic care tailored to your needs.

How Can You Reach CSOG Elbow Center
  • Send a Referral
  • Send Medical Records
  • Additional Inquires
Elbow Service

Colorado Springs Orthopaedic Group

Your elbow connects the upper and lower arm and plays an important role in lifting, reaching, gripping, and other everyday movements. Elbow injuries and conditions can result from sports, repetitive use, trauma, arthritis, or problems affecting the tendons, nerves, and surrounding tissues.

At CSOG, our specialists provide comprehensive care for a wide range of elbow conditions, including tendon injuries, nerve compression, instability, arthritis, fractures, and sports-related injuries. Treatment is based on your diagnosis and may range from conservative care and physical therapy to injections, minimally invasive procedures, and surgery.

Our goal is to identify the source of your elbow problem and provide an individualized treatment approach that helps relieve pain, restore movement and strength, and return you to your normal activities.

What is Revision Elbow Replacement?

Revision elbow replacement is a surgery performed to replace a loose or worn out initial elbow replacement. Typically, cemented semi-constrained prostheses are used for revision elbow replacement.

The procedure, also called ‘revision elbow arthroplasty’, can often be more complicated than the original replacement surgery.

What Causes Revision Elbow Replacement?

Several factors can contribute to revision elbow replacement. They include:

  • Dislodgement of the replaced elbow
  • Damage or fracture to the replaced elbow
  • Infection after the initial elbow replacement
  • Aseptic loosening of the implant or prosthesis
  • Instability of the initial replacement
  • Failure of the initial implant or prosthesis

What are the Indications for Revision Elbow Replacement?

Persistent pain in your elbow long after the initial replacement is the obvious indication for revision elbow replacement.

How is Revision Elbow Replacement Diagnosed?

Blood tests and an X-ray of your elbow can confirm the failure of the initial elbow replacement.

What are the Nonoperative Options?

Nonoperative options for revision elbow replacement predominantly include:

  • Physical therapy
  • Splinting the elbow
  • Medications

What are the Operative Options?

Reimplantation (including cement-within-cement technique) can be a viable and reliable option for the revision elbow replacement. Other surgical options include:

  • Tension band fixation
  • Allograft struts with cerclage wire or plate and screw constructs

Occasionally, recurrent infections may occur after these procedures.

What Happens After Your Surgery?

A bandage or a plaster (slab) will be applied to your new elbow soon after the surgery. You will be advised to keep your arm in a splint while the surgery wound heals. Additionally, the doctor may prescribe a medication regime (or a combination of medications) for relief from pain.

What Does Rehabilitation Involve?

A carefully planned and well-organized rehabilitation program is the key to the success of a revision elbow replacement. Your doctor will make every effort to design an individualized rehabilitation regime as the wound heals. You are expected to stick to the rehab program until your elbow fully recovers for the best results.

For more information about our services or to schedule an appointment, call us at or click here to request an appointment online. We'll respond to you as soon as possible.

Why Choose Colorado Springs Orthopaedic Group for Revision Elbow Replacement?

Revision elbow replacement is often more complex than the original procedure and requires specialized expertise. At Colorado Springs Orthopaedic Group, we offer advanced care for patients experiencing complications after elbow replacement surgery.

Patients choose our practice because we provide:

  • Experienced orthopaedic surgeons skilled in complex elbow reconstruction and revision procedures
  • Comprehensive diagnostic evaluations to determine the cause of implant failure or persistent symptoms
  • Advanced imaging and treatment planning for accurate diagnosis
  • Personalized surgical and non-surgical treatment options
  • Expertise in treating implant loosening, instability, infection, fractures, and prosthesis wear
  • State-of-the-art surgical facilities and evidence-based techniques
  • Individualized rehabilitation programs designed to maximize recovery
  • Patient-focused care and support throughout every stage of treatment

Our goal is to help restore elbow function, reduce pain, and improve your quality of life through expert revision care.

Revision Elbow Replacement FAQs

Revision elbow replacement is a surgical procedure performed to replace or repair a previously implanted elbow prosthesis that has become loose, worn out, damaged, infected, or unstable.
Common reasons include implant loosening, prosthesis failure, infection, instability, fractures around the implant, dislodgement of components, or persistent pain after the original surgery.
In some cases, non-surgical treatments such as physical therapy, splinting, medications, and activity modification may help manage symptoms. However, revision surgery may be necessary when significant implant problems are present.
Yes. Revision procedures are generally more complex because surgeons must address scar tissue, bone loss, implant removal, infection, or instability while preserving surrounding structures.
Recovery varies depending on the extent of the surgery. Most patients wear a splint initially and participate in a structured rehabilitation program to regain strength and mobility.
Potential risks include infection, bleeding, nerve injury, stiffness, implant loosening, recurrent instability, fracture, and the need for additional procedures.

Experiencing Pain or Problems After an Elbow Replacement?

If you're struggling with persistent elbow pain, instability, implant complications, or reduced function after a previous elbow replacement, expert care is available close to home.

Schedule a consultation with Colorado Springs Orthopaedic Group to learn whether revision elbow replacement may be the right solution for your condition.

Call our office today or request an appointment online to meet with a revision elbow replacement specialist in Colorado Springs, CO. Let our experienced team help you restore elbow function and return to the activities you enjoy most.

Colorado Springs Locations
Orthopaedic Care Across Colorado Springs

Visit CSOG at convenient locations for specialty care, Express Care, imaging, therapy, and recovery support.

4110 Briargate Parkway
Suite 300
Colorado Springs, CO 80920

Mon - Thu : 7:00 am to 5:00 pm
Fri : 7:00 am to 4:00 pm

1655 Quail Lake Loop
Colorado Springs, CO 80906

Mon - Thu : 7:00 am to 5:00 pm
Fri : 7:00 am to 4:00 pm

6140 Tutt Blvd
Suite 110
Colorado Springs, CO 80923

Mon - Fri : 7:00 am to 6:00 pm

Ready to Take the Next Step Toward Better Movement?

Whether you are dealing with a new injury, chronic pain, arthritis, or recovery after surgery, CSOG can help you find the right orthopaedic care path.

001
SET 
    NAMES "utf8mb4" COLLATE "utf8mb4_unicode_ci"
FileFunctionLine
/home/csogy/public_html/database/Zebra_Database.phpquery()3907
/home/csogy/public_html/helpers/functions.phpset_charset()42
/home/csogy/public_html/models/YpoDatabase.phpgetConnection()22
/home/csogy/public_html/models/Provider.php__construct()27
/home/csogy/public_html/configs/common.php__construct()182
/home/csogy/public_html/common/common.phprequire_once()5
/home/csogy/public_html/elbow/revision-elbow-replacement-orthopaedic-specialists-colorado-springs-co.phprequire_once()3
002
SELECT 
    DISTINCT T.* 
FROM 
    cs_page_alerts T 
    LEFT JOIN cs_page_alerts_page_urls PU ON (
        PU.page_alert_id = T.id 
        AND T.is_global = 0
    ) 
WHERE 
    T.status = '1' 
    AND (
        PU.page_url = 'https://csog.ypo.pw/elbow/revision-elbow-replacement-orthopaedic-specialists-colorado-springs-co/' 
        OR T.is_global = 1
    ) 
ORDER BY 
    T.is_global ASC, 
    T.id DESC
idselect_typetablepartitionstypepossible_keyskeykey_lenrefrowsfilteredExtra
1SIMPLETALL333.33Using where; Using temporary; Using filesort
1SIMPLEPUALL3100.00Using where; Distinct; Using join buffer (hash join)
FileFunctionLine
/home/csogy/public_html/models/YpoDatabase.phpquery()47
/home/csogy/public_html/models/PageAlert.phprawQuery()67
/home/csogy/public_html/models/PageAlert.phpgetCurrentPageAlerts()76
/home/csogy/public_html/configs/common.phpgetCurrentPageAlertsGrouped()185
/home/csogy/public_html/common/common.phprequire_once()5
/home/csogy/public_html/elbow/revision-elbow-replacement-orthopaedic-specialists-colorado-springs-co.phprequire_once()3
003
WARNING: The first few results returned by this query are the same as returned by 2 other queries!
SELECT 
    * 
FROM 
    cs_specialties 
WHERE 
    id = '10'
idparent_idspecialty_nameslugpage_urlshort_descriptiondescriptioniconbanner_imageimageseo_titleseo_keywordsseo_descriptionsort_orderstatuscreated_atupdated_at
100Elbowelbow/elbow-orthopaedic-specialists-colorado-springs-co/012026-07-10 13:10:292026-07-15 17:56:40
idselect_typetablepartitionstypepossible_keyskeykey_lenrefrowsfilteredExtra
1SIMPLEcs_specialtiesconstPRIMARYPRIMARY4const1100.00
FileFunctionLine
/home/csogy/public_html/models/YpoDatabase.phpquery()68
/home/csogy/public_html/models/Speciality.phprawQuerySingle()50
/home/csogy/public_html/includes/speacialist-list.phpgetRecord()3
/home/csogy/public_html/includes/elbow-speacialist.phprequire_once()1
/home/csogy/public_html/elbow/revision-elbow-replacement-orthopaedic-specialists-colorado-springs-co.phprequire_once()92
004
(
    SELECT 
        D.id, 
        D.designation, 
        D.slug, 
        D.short_title, 
        D.provider_type, 
        D.photo, 
        PT.sh_name, 
        PT.type AS p_type, 
        0 as dr_short_title, 
        0 as dr_id, 
        0 as dr_slug 
    FROM 
        cs_providers D 
        INNER JOIN cs_provider_specialties PS ON PS.provider_id = D.id 
        INNER JOIN cs_provider_type PT ON FIND_IN_SET(PT.id, D.provider_type) > 0 
    WHERE 
        PS.specialty_id = '10' 
        AND D.status = 1 
    GROUP BY 
        D.id
) 
UNION 
    (
        SELECT 
            A.id, 
            A.designation, 
            A.slug, 
            A.short_title, 
            A.provider_type, 
            A.photo, 
            PT.sh_name, 
            PT.type AS p_type, 
            D.short_title AS dr_short_title, 
            D.id as dr_id, 
            D.slug as dr_slug 
        FROM 
            cs_provider_specialties PS 
            INNER JOIN cs_providers D ON D.id = PS.provider_id 
            INNER JOIN cs_provider_assistant PA ON PA.doctor_id = D.id 
            INNER JOIN cs_providers A ON A.id = PA.assistant_id 
            INNER JOIN cs_provider_type PT ON FIND_IN_SET(PT.id, A.provider_type) > 0 
        WHERE 
            PS.specialty_id = '10' 
            AND FIND_IN_SET(1, D.provider_type) > 0 
            AND D.status = 1 
            AND A.status = 1 
        GROUP BY 
            A.id
    ) 
ORDER BY 
    provider_type, 
    short_title
idselect_typetablepartitionstypepossible_keyskeykey_lenrefrowsfilteredExtra
1PRIMARYPTALL6100.00Using temporary
1PRIMARYPSALL8010.00Using where; Using join buffer (hash join)
1PRIMARYDeq_refPRIMARYPRIMARY4csogy_csog_db.PS.provider_id110.00Using where
2UNIONPTALL6100.00Using temporary
2UNIONPSALL8010.00Using where; Using join buffer (hash join)
2UNIONDeq_refPRIMARYPRIMARY4csogy_csog_db.PS.provider_id110.00Using where
2UNIONPAALL3510.00Using where; Using join buffer (hash join)
2UNIONAeq_refPRIMARYPRIMARY4csogy_csog_db.PA.assistant_id110.00Using where
3UNION RESULT<union1,2>ALLUsing temporary; Using filesort
FileFunctionLine
/home/csogy/public_html/models/YpoDatabase.phpquery()47
/home/csogy/public_html/models/Provider.phprawQuery()529
/home/csogy/public_html/includes/speacialist-list.phpgetSpecalityListDrWithAssitents()4
/home/csogy/public_html/includes/elbow-speacialist.phprequire_once()1
/home/csogy/public_html/elbow/revision-elbow-replacement-orthopaedic-specialists-colorado-springs-co.phprequire_once()92
005
WARNING: The first few results returned by this query are the same as returned by 2 other queries!
SELECT 
    * 
FROM 
    cs_specialties 
WHERE 
    id = '10'
idparent_idspecialty_nameslugpage_urlshort_descriptiondescriptioniconbanner_imageimageseo_titleseo_keywordsseo_descriptionsort_orderstatuscreated_atupdated_at
100Elbowelbow/elbow-orthopaedic-specialists-colorado-springs-co/012026-07-10 13:10:292026-07-15 17:56:40
idselect_typetablepartitionstypepossible_keyskeykey_lenrefrowsfilteredExtra
1SIMPLEcs_specialtiesconstPRIMARYPRIMARY4const1100.00
FileFunctionLine
/home/csogy/public_html/models/YpoDatabase.phpquery()68
/home/csogy/public_html/models/Speciality.phprawQuerySingle()50
/home/csogy/public_html/includes/specialty-sidebar.phpgetRecord()2
/home/csogy/public_html/includes/elbow-sidebar.phprequire_once()20
/home/csogy/public_html/elbow/revision-elbow-replacement-orthopaedic-specialists-colorado-springs-co.phprequire_once()130
006
WARNING: The first few results returned by this query are the same as returned by 2 other queries!
SELECT 
    * 
FROM 
    cs_specialties 
WHERE 
    parent_id = '10' 
    OR id = '10' 
GROUP BY 
    id
idparent_idspecialty_nameslugpage_urlshort_descriptiondescriptioniconbanner_imageimageseo_titleseo_keywordsseo_descriptionsort_orderstatuscreated_atupdated_at
100Elbowelbow/elbow-orthopaedic-specialists-colorado-springs-co/012026-07-10 13:10:292026-07-15 17:56:40
idselect_typetablepartitionstypepossible_keyskeykey_lenrefrowsfilteredExtra
1SIMPLEcs_specialtiesindex_mergePRIMARY,idx_parentidx_parent,PRIMARY5,42100.00Using union(idx_parent,PRIMARY); Using where
FileFunctionLine
/home/csogy/public_html/models/YpoDatabase.phpquery()47
/home/csogy/public_html/models/Speciality.phprawQuery()60
/home/csogy/public_html/includes/specialty-sidebar.phpgetSubSplaityList()14
/home/csogy/public_html/includes/elbow-sidebar.phprequire_once()20
/home/csogy/public_html/elbow/revision-elbow-replacement-orthopaedic-specialists-colorado-springs-co.phprequire_once()130
007
SELECT 
    * 
FROM 
    cs_specialties_condestions_procedures 
WHERE 
    specialty_id = '10' 
    AND type = '1'
idtitlepage_urlspecialty_idtypeslugstatus
215Elbow Arthroscopy/elbow/elbow-arthroscopy-orthopaedic-specialists-colorado-springs-co/101elbow-arthroscopy1
216Biceps Tendon Repair/elbow/biceps-tendon-repair-orthopaedic-specialists-colorado-springs-co/101biceps-tendon-repair1
217Elbow Ligament Reconstruction/elbow/elbow-ligament-reconstruction-orthopaedic-specialists-colorado-springs-co/101elbow-ligament-reconstruction1
218Elbow Tendon and Ligament Repair/elbow/elbow-tendon-ligament-repair-orthopaedic-specialists-colorado-springs-co/101elbow-tendon-and-ligament-repair1
219UCL Reconstruction (Tommy John Surgery)/elbow/ucl-reconstruction-tommy-john-surgery-orthopaedic-specialists-colorado-springs-co/101ucl-reconstruction-tommy-john-surgery1
220Total Elbow Replacement/elbow/total-elbow-replacement-orthopaedic-specialists-colorado-springs-co/101total-elbow-replacement1
221Elbow Surgery/elbow/elbow-surgery-orthopaedic-specialists-colorado-springs-co/101elbow-surgery1
222Tennis Elbow Surgery/elbow/tennis-elbow-surgery-orthopaedic-specialists-colorado-springs-co/101tennis-elbow-surgery1
223Open Elbow Surgery/elbow/open-elbow-surgery-orthopaedic-specialists-colorado-springs-co/101open-elbow-surgery1
224Golfer's Elbow Surgery/elbow/golfers-elbow-surgery-orthopaedic-specialists-colorado-springs-co/101golfer-s-elbow-surgery1
225Elbow Fracture Reconstruction/elbow/elbow-fracture-reconstruction-orthopaedic-specialists-colorado-springs-co/101elbow-fracture-reconstruction1
226Revision Elbow Replacement/elbow/revision-elbow-replacement-orthopaedic-specialists-colorado-springs-co/101revision-elbow-replacement1
227Open Cubital Tunnel Repair/elbow/open-cubital-tunnel-repair-orthopaedic-specialists-colorado-springs-co/101open-cubital-tunnel-repair1
228Cubital Tunnel Release (Medial Epicondylectomy)/elbow/cubital-tunnel-release-medial-epicondylectomy-orthopaedic-specialists-colorado-springs-co/101cubital-tunnel-release-medial-epicondylectomy1
229Partial Elbow Replacement/elbow/partial-elbow-replacement-orthopaedic-specialists-colorado-springs-co/101partial-elbow-replacement1
230Distal Biceps Repair/elbow/distal-biceps-repair-orthopaedic-specialists-colorado-springs-co/101distal-biceps-repair1
231ORIF of the Humerus Fractures/elbow/orif-humerus-fractures-orthopaedic-specialists-colorado-springs-co/101orif-of-the-humerus-fractures1
232ORIF of the Coronoid Fractures/elbow/orif-coronoid-fractures-orthopaedic-specialists-colorado-springs-co/101orif-of-the-coronoid-fractures1
233Triceps Repair/elbow/triceps-repair-orthopaedic-specialists-colorado-springs-co/101triceps-repair1
234ORIF of the Distal Humerus Fractures/elbow/orif-distal-humerus-fractures-orthopaedic-specialists-colorado-springs-co/101orif-of-the-distal-humerus-fractures1
idselect_typetablepartitionstypepossible_keyskeykey_lenrefrowsfilteredExtra
1SIMPLEcs_specialties_condestions_proceduresALL8461.00Using where
FileFunctionLine
/home/csogy/public_html/models/YpoDatabase.phpquery()47
/home/csogy/public_html/models/Speciality.phprawQuery()36
/home/csogy/public_html/includes/specialty-sidebar.phpgetCondestion()26
/home/csogy/public_html/includes/elbow-sidebar.phprequire_once()20
/home/csogy/public_html/elbow/revision-elbow-replacement-orthopaedic-specialists-colorado-springs-co.phprequire_once()130
008
SELECT 
    * 
FROM 
    cs_specialties_condestions_procedures 
WHERE 
    specialty_id = '10' 
    AND type = '2'
idtitlepage_urlspecialty_idtypeslugstatus
250Elbow Arthritis/elbow/elbow-arthritis-orthopaedic-specialists-colorado-springs-co/102elbow-arthritis1
251Elbow Impingement/elbow/elbow-impingement-orthopaedic-specialists-colorado-springs-co/102elbow-impingement1
252Elbow Dislocation/elbow/elbow-dislocation-orthopaedic-specialists-colorado-springs-co/102elbow-dislocation1
253Elbow Sprain/elbow/elbow-sprain-orthopaedic-specialists-colorado-springs-co/102elbow-sprain1
254Tennis Elbow/elbow/tennis-elbow-orthopaedic-specialists-colorado-springs-co/102tennis-elbow1
255Golfer's Elbow/elbow/golfers-elbow-orthopaedic-specialists-colorado-springs-co/102golfer-s-elbow1
256Elbow Injuries/elbow/elbow-injuries-orthopaedic-specialists-colorado-springs-co/102elbow-injuries1
257Elbow Pain/elbow/elbow-pain-orthopaedic-specialists-colorado-springs-co/102elbow-pain1
258Elbow Ligament Injuries/elbow/elbow-ligament-injuries-orthopaedic-specialists-colorado-springs-co/102elbow-ligament-injuries1
259Bicep Tendon Tear at the Elbow/elbow/bicep-tendon-tear-elbow-orthopaedic-specialists-colorado-springs-co/102bicep-tendon-tear-at-the-elbow1
260Cubital Tunnel Syndrome (Ulnar Nerve Entrapment)/elbow/cubital-tunnel-syndrome-ulnar-nerve-entrapment-orthopaedic-specialists-colorado-springs-co/102cubital-tunnel-syndrome-ulnar-nerve-entrapment1
261Elbow (Olecranon) Bursitis/elbow/elbow-olecranon-bursitis-orthopaedic-specialists-colorado-springs-co/102elbow-olecranon-bursitis1
262Elbow Fractures/elbow/elbow-fractures-orthopaedic-specialists-colorado-springs-co/102elbow-fractures1
263Elbow Osteoarthritis/elbow/elbow-osteoarthritis-orthopaedic-specialists-colorado-springs-co/102elbow-osteoarthritis1
264Elbow Instability/elbow/elbow-instability-orthopaedic-specialists-colorado-springs-co/102elbow-instability1
265Elbow Stiffness/elbow/elbow-stiffness-orthopaedic-specialists-colorado-springs-co/102elbow-stiffness1
266Posterior Impingement of the Elbow/elbow/posterior-impingement-elbow-orthopaedic-specialists-colorado-springs-co/102posterior-impingement-of-the-elbow1
267Lateral Impingement of the Elbow/elbow/lateral-impingement-elbow-orthopaedic-specialists-colorado-springs-co/102lateral-impingement-of-the-elbow1
268Triceps Injuries/elbow/triceps-injuries-orthopaedic-specialists-colorado-springs-co/102triceps-injuries1
269Osteochondritis Dissecans of the Capitellum/elbow/osteochondritis-dissecans-capitellum-orthopaedic-specialists-colorado-springs-co/102osteochondritis-dissecans-of-the-capitellum1
idselect_typetablepartitionstypepossible_keyskeykey_lenrefrowsfilteredExtra
1SIMPLEcs_specialties_condestions_proceduresALL8461.00Using where
FileFunctionLine
/home/csogy/public_html/models/YpoDatabase.phpquery()47
/home/csogy/public_html/models/Speciality.phprawQuery()36
/home/csogy/public_html/includes/specialty-sidebar.phpgetCondestion()46
/home/csogy/public_html/includes/elbow-sidebar.phprequire_once()20
/home/csogy/public_html/elbow/revision-elbow-replacement-orthopaedic-specialists-colorado-springs-co.phprequire_once()130
001
$_REQUEST
array (
)
001
$_POST
array (
)
001
$_GET
array (
)
001
$_SESSION
array (
)
001
$_COOKIE
array (
  'PHPSESSID' => 'adbf53d4138883daf6f46484e5767368',
)
001
$_FILES
array (
)
001
$_SERVER
array (
  'USER' => 'csogy',
  'HOME' => '/home/csogy',
  'SCRIPT_NAME' => '/elbow/revision-elbow-replacement-orthopaedic-specialists-colorado-springs-co.php',
  'REQUEST_URI' => '/elbow/revision-elbow-replacement-orthopaedic-specialists-colorado-springs-co/',
  'QUERY_STRING' => '',
  'REQUEST_METHOD' => 'GET',
  'SERVER_PROTOCOL' => 'HTTP/2.0',
  'GATEWAY_INTERFACE' => 'CGI/1.1',
  'REDIRECT_URL' => '/elbow/revision-elbow-replacement-orthopaedic-specialists-colorado-springs-co/',
  'REMOTE_PORT' => '30550',
  'SCRIPT_FILENAME' => '/home/csogy/public_html/elbow/revision-elbow-replacement-orthopaedic-specialists-colorado-springs-co.php',
  'SERVER_ADMIN' => 'webmaster@csog.ypo.pw',
  'CONTEXT_DOCUMENT_ROOT' => '/home/csogy/public_html',
  'CONTEXT_PREFIX' => '',
  'REQUEST_SCHEME' => 'https',
  'DOCUMENT_ROOT' => '/home/csogy/public_html',
  'REMOTE_ADDR' => '216.73.216.171',
  'SERVER_PORT' => '443',
  'SERVER_ADDR' => '172.31.81.87',
  'SERVER_NAME' => 'csog.ypo.pw',
  'SERVER_SOFTWARE' => 'Apache',
  'SERVER_SIGNATURE' => '',
  'PATH' => '/usr/local/jdk/bin:/usr/kerberos/sbin:/usr/kerberos/bin:/usr/local/sbin:/usr/local/bin:/sbin:/bin:/usr/sbin:/usr/bin:/usr/X11R6/bin:/usr/local/bin:/usr/X11R6/bin:/root/bin:/opt/bin',
  'HTTP_X_HTTPS' => '1',
  'HTTP_HOST' => 'csog.ypo.pw',
  'HTTP_ACCEPT_ENCODING' => 'gzip, br, zstd, deflate',
  'HTTP_COOKIE' => 'PHPSESSID=adbf53d4138883daf6f46484e5767368',
  'HTTP_USER_AGENT' => 'Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)',
  'HTTP_ACCEPT' => '*/*',
  'proxy-nokeepalive' => '1',
  'H2_STREAM_TAG' => '1922844-609-437',
  'H2_STREAM_ID' => '437',
  'H2_PUSHED_ON' => '',
  'H2_PUSHED' => '',
  'H2_PUSH' => 'off',
  'H2PUSH' => 'off',
  'HTTP2' => 'on',
  'SSL_TLS_SNI' => 'csog.ypo.pw',
  'HTTPS' => 'on',
  'GOOGLE_APPLICATION_CREDENTIALS' => '/home/csogy/public_html/mobileapp/notifications/config/firebase-service-account.json',
  'HTTP_AUTHORIZATION' => '',
  'SCRIPT_URI' => 'https://csog.ypo.pw/elbow/revision-elbow-replacement-orthopaedic-specialists-colorado-springs-co/',
  'SCRIPT_URL' => '/elbow/revision-elbow-replacement-orthopaedic-specialists-colorado-springs-co/',
  'UNIQUE_ID' => 'avj-fgC7ojUlkocvPDucKAABDwo',
  'REDIRECT_STATUS' => '200',
  'REDIRECT_H2_STREAM_TAG' => '1922844-609-437',
  'REDIRECT_H2_STREAM_ID' => '437',
  'REDIRECT_H2_PUSHED_ON' => '',
  'REDIRECT_H2_PUSHED' => '',
  'REDIRECT_H2_PUSH' => 'off',
  'REDIRECT_H2PUSH' => 'off',
  'REDIRECT_HTTP2' => 'on',
  'REDIRECT_SSL_TLS_SNI' => 'csog.ypo.pw',
  'REDIRECT_HTTPS' => 'on',
  'REDIRECT_GOOGLE_APPLICATION_CREDENTIALS' => '/home/csogy/public_html/mobileapp/notifications/config/firebase-service-account.json',
  'REDIRECT_HTTP_AUTHORIZATION' => '',
  'REDIRECT_SCRIPT_URI' => 'https://csog.ypo.pw/elbow/revision-elbow-replacement-orthopaedic-specialists-colorado-springs-co/',
  'REDIRECT_SCRIPT_URL' => '/elbow/revision-elbow-replacement-orthopaedic-specialists-colorado-springs-co/',
  'REDIRECT_UNIQUE_ID' => 'avj-fgC7ojUlkocvPDucKAABDwo',
  'FCGI_ROLE' => 'RESPONDER',
  'PHP_SELF' => '/elbow/revision-elbow-replacement-orthopaedic-specialists-colorado-springs-co.php',
  'REQUEST_TIME_FLOAT' => 1794702974.9338190555572509765625,
  'REQUEST_TIME' => 1794702974,
  'argv' => 
  array (
  ),
  'argc' => 0,
)
8! / 0