Elbow replacement, also known as total elbow arthroplasty, is a surgical procedure performed to replace a damaged or diseased elbow joint with an artificial joint. It is typically recommended when conservative treatments, such as medication, physical therapy, or corticosteroid injections, have failed to relieve pain and restore function in the elbow.
Elbow replacement surgery involves the following steps:
Anesthesia: You will be given anesthesia to ensure that you are comfortable and pain-free throughout the procedure. The type of anesthesia used can vary, and your surgeon will discuss this with you beforehand.
Incision: The surgeon will make an incision on the back of the elbow, exposing the damaged joint.
Joint preparation: The damaged bone and cartilage within the elbow joint will be carefully removed, creating space for the artificial components.
Component placement: The artificial joint components, including a metal and plastic implant, will be secured to the bones using cement or by press-fit technique. The metal stem is inserted into the humerus (upper arm bone), and the metal and plastic components are attached to the ulna (forearm bone) and radius (the other forearm bone).
Closure: The incision is closed using sutures or staples, and a sterile dressing is applied.
After the surgery, you will be closely monitored in the hospital for a few days. You may receive pain medication and be started on a physical therapy program to help restore range of motion, strength, and function in the elbow. Rehabilitation and recovery times can vary depending on individual circumstances, but typically, physical therapy will continue for several weeks or months.
Elbow replacement surgery can provide relief from pain, improve joint function, and enhance the quality of life for individuals with severe elbow arthritis, fractures, or other debilitating conditions affecting the elbow joint. However, as with any surgical procedure, there are potential risks and complications associated with elbow replacement, including infection, blood vessel or nerve damage, implant loosening, and limited range of motion.
It is important to consult with an orthopedic surgeon who specializes in joint replacement to determine if elbow replacement is the most appropriate treatment option for your specific condition. They will evaluate your medical history, conduct a thorough examination, and discuss the potential risks and benefits of the procedure with you.