Elbow Replacement
Elbow replacement (also called total elbow arthroplasty) is a surgical procedure in which the damaged parts of the elbow joint are replaced with artificial components (prosthesis). It is usually considered when severe damage to the elbow causes pain, stiffness, and loss of function that does not improve with medications, physiotherapy, or less invasive surgeries.
ā
When is it needed?
1. Severe rheumatoid arthritis or osteoarthritis of the elbow
2. Post-traumatic arthritis (after fractures or injuries)
3. Complex or unfixable elbow fractures
4. Failed previous surgeries on the elbow
5.Severe pain and stiffness limiting daily activities
š§ How it is done
1.Damaged portions of the humerus (upper arm bone) and ulna (forearm bone) are removed.
2.Artificial metal-and-plastic components are fixed inside the bones.
3.A hinge mechanism connects the humerus and ulna, allowing smooth movement.
š„ Types of elbow prostheses
1.Linked (hinged): The components are physically connected, offering more stability.
2.Unlinked (non-hinged): Components are not directly connected; rely on surrounding ligaments and soft tissue for stability.
āļø Recovery & Rehabilitation
1.Hospital stay: usually 2ā3 days.
2.Arm is kept in a splint initially, then gentle exercises start.
3.Physiotherapy is crucial for regaining function.
4.Full recovery may take 3ā6 months.
ā ļø Risks & Complications
1.Infection
2.Loosening or wear of prosthesis
3.Nerve injury
4.Joint instability or stiffness
5.Need for revision surgery later