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Elbow Replacement

Overview

Elbow replacement is an elbow surgery that involves replacing the diseased bones of the elbow joint with new metallic implants (similar to those used to replace hip/knee and shoulder joints).

Elbow replacement is indicated for patients with:  

  • Severe forms of arthritis
  • Intra-articular (involving the joint) fractures
  • Elbow instability
  • Elbow bone tumour

Preoperative planning

  • Preoperative examinations to assess general condition
  • Preoperative fitness assessment by the anaesthetist

Surgery

  • The procedure is usually performed under general anaesthesia and can be combined with a regional block.
  • A long incision is made at the back of the elbow joint to expose the muscles and bones (distal humerus and proximal ulna).
  • The affected parts of the bones are removed and replaced with new metallic implants that are fixed to the bone using bone cement and ligaments around the elbow.
  • A pressure dressing is applied to the wound.

Postoperative care

The patient is asked to gradually mobilise the joint based on their healing progress. Physical therapy and rehabilitation are necessary to restore functionality.

  • Infection during the early or late phase
  • Wound healing complications
  • Nerve injury
  • Implant-related issues, such as loosening
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