Partial Elbow Replacement
A Surgical Procedure to Replace a Damaged Part of the Elbow Joint and Improve Function
Olecranon fracture fixation involves using surgical techniques to stabilise and repair the fractured bone. This procedure is commonly performed when the fracture is displaced or when the joint function is impaired.
Common Reasons for the Procedure
- Localised damage caused by conditions such as osteoarthritis or rheumatoid arthritis.
- Fractures that severely affect one part of the elbow joint.
- Persistent pain or stiffness not responding to other treatments.
- Functional limitations interfering with daily activities.
Goals of the Procedure:
- Relieve chronic or acute elbow pain.
- Restore joint stability and function.
- Improve range of motion and arm strength.
Preparation for Surgery
Proper preparation is vital to achieving the best possible outcomes from partial elbow replacement surgery.
Steps in Preparation:
- Pre-Surgical Consultation:
- Dr Ben McGrath will perform a thorough evaluation, including imaging studies such as X-rays, MRIs, or CT scans, to determine the extent of joint damage and plan the surgery.
- Pre-Surgical Instructions:
- Patients will be advised to fast before the procedure and may need to adjust or pause medications such as blood thinners.
- Discuss any allergies or medical conditions with your healthcare team.
- Lifestyle Adjustments:
- Quitting smoking, maintaining a healthy weight, and engaging in light exercises may contribute to a smoother recovery and better surgical outcomes.
What Happens During the Surgery?
Procedure Steps:
- Anaesthesia:
- The procedure is performed under general anaesthesia or regional anaesthesia, depending on patient needs and preferences.
- Surgical Technique:
- An incision is made to access the affected part of the elbow joint.
- The damaged bone and tissue are carefully removed, and a prosthetic implant is secured to replace the affected component.
- Surrounding tissues are preserved as much as possible to maintain joint function.
- Duration:
- The surgery generally takes between 1.5 and 3 hours, depending on the complexity of the condition.
Understanding the Risks
Partial elbow replacement is generally considered safe, but as with all surgeries, there are associated risks.
Common Risks:
- Temporary swelling or stiffness around the surgical site.
- Bruising or minor pain during the initial recovery phase.
Rare but Serious Risks:
- Infection at the surgical site or surrounding tissues.
- Nerve or blood vessel injury.
- Loosening or wear of the implant over time.
- Need for revision surgery.
Your surgical team will take all necessary steps to minimise these risks and discuss them with you beforehand.
What to Expect After Surgery
Immediate Post-Operative Care:
- Hospital stay of 1–2 days may be required for observation.
- Pain will be managed with medications, and the arm may be immobilised in a sling or brace to protect the joint.
Discharge Instructions:
- Avoid heavy lifting or repetitive movements during the initial healing phase.
- Keep the surgical area clean and dry to prevent infection.
Rehabilitation and Recovery
Recovery Milestones:
- Weeks 1–4:
- Gentle physiotherapy exercises will begin to restore range of motion and strength.
- The use of a brace or sling is recommended for added support.
- Weeks 5–8:
- Gradual increase in activities to improve joint functionality.
- Strengthening exercises tailored to individual recovery progress.
- Months 2–6:
- Return to most daily activities and light physical tasks.
- High-impact activities should be avoided unless cleared by Dr Ben McGrath.
Restrictions During Recovery:
- Avoid placing excessive strain on the elbow joint.
- Follow all physiotherapy guidelines to optimise healing.
Long-Term Outcomes
Partial elbow replacement aims to provide lasting pain relief and improved function.
Expected Improvements:
- Reduced or eliminated elbow pain.
- Improved stability and range of motion.
- Restoration of the ability to perform everyday tasks.
Maintenance of Results:
- Regular follow-up appointments with Dr Ben McGrath to monitor joint health.
- Engagement in low-impact activities and adherence to prescribed exercises.
- Protect the elbow from excessive strain to prolong implant lifespan.