> From what I gather it has not formed properly and needs realigning
Unfortunately this discription could probably cover the various different elbow problems.
My dog has UAP (ununited anchoneal process - I think that's spelt right?), which means the nobbly bone at the back of the elbow is not fused into the place it should have, it's loose. The vet did want to opperate to re-attach the bone at forst, but after seeing a specialist and speaking to the breeder we decided to not opperate if we could controll the pain. Pup was 5 & half months old then, within a few months he was off the pain killers and with glucosamine suppliments, weught & exercise manegment we have avoided him needing the op, he's now 22 months :) He can have the opperation to re-attach the bone anytime he may need in the future.
It really does depend on what your pup has wrong as to weather the opperation can be put off untill he is older.