Elbow Replacement

As Elbow Replacement is a very specialise and demanding surgery, it is imperative that it is undertaken by expert surgeons to ascertain predictable results and reduce risk of complications and revision surgery in future.

Total Elbow Replacement

Elbow joint replacement, also referred to as Total Elbow Arthroplasty(TEA) is an operative procedure to treat the symptoms of arthritis that have not responded to non-surgical treatments.

Indications

Elbow Joint Replacement surgery is recommended in following common conditions:

  • Severe Elbow Arthritis
  • Complex elbow trauma resulting in a complex elbow fracture / trauma in older patients with osteoporosis.
  • Tumour or growth in the elbow joint
  • Rheumatoid Arthritis
  • Inflammatory disease of the elbow

Surgical Procedure

The goal of elbow joint replacement surgery is to eliminate pain and increase the mobility of the elbow joint. The surgery is performed under a general anesthesia.

An incision is made over the back of the elbow. The muscles and tendons and ligaments are moved away to expose the elbow joint. Care is taken to move the ulnar nerve to prevent nerve damage. The damaged joint surfaces of the humerus, radius and ulna are cut and the bones are hollowed out from the inside. Proper fit of the prosthesis is obtained and the prosthesis is cemented.

Proper movement of the hinge joint is confirmed and the joint is tested through its range of motion. The skin is closed and the elbow is then dressed and bandaged.

Recovery

An average hospital stay is 3-4 days. Pain is controlled with PCA (patient controlled analgesia) , this allows the patient to push a button to deliver a dose of pain medicine. Surgical wound takes 10-14 days to heal.

Physiotherapy begins 3-4 days after the surgery and continue for about 6 weeks to 12 weeks to regain full range of motion of the elbow joint.

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