A procedure to replace the damaged elbow joint with an artificial joint to relieve pain and restore function.
Through an open incision, the damaged joint surfaces are removed and replaced with metal and plastic components, generally taking one to two hours. Patients typically stay in hospital for a few days afterward.
Assessment includes examination and imaging, usually X-rays, to confirm the degree of joint damage and that replacement is the appropriate treatment. Preoperative preparation may include specific exercises alongside standard fasting and medication review, and arranging support at home during early recovery is recommended.
A splint or brace supports the elbow initially, with physiotherapy beginning once the surgical team confirms it is safe. Pain is managed with appropriate analgesia in the early days. Recovery is gradual, with meaningful improvement in strength and function continuing over several months.
Rehabilitation focuses on regaining a functional range of motion and building strength within the lifting limits recommended for the specific implant used. Physiotherapy is introduced progressively, with regular follow-up to monitor the replacement and guide activity levels over the longer term.
Risks include infection, which is a particularly significant concern with any joint replacement, loosening of the prosthetic components over time, stiffness, and the general risks of anaesthesia. Lifting restrictions are recommended long-term given the forces the elbow experiences and the comparative fragility of the replacement compared with the hip or knee.
The goal is significant pain relief and improved elbow function for a joint too damaged for other treatments to help. Most patients experience good relief of pain, though because the replacement is more susceptible to wear under heavy load than a natural joint, lifting limits are recommended afterward to help the implant last.
Total elbow arthroplasty replaces a severely damaged elbow joint with an artificial one, aiming to relieve pain and restore functional movement, particularly in advanced arthritis. Most patients experience good pain relief, though lifting restrictions afterward are important to protect the replacement's longevity.
