Total elbow joint replacement for elbow arthritis: Surgery with a dependable, time-tested prosthesis can lessen pain and improve function in elbows, especially those with rheumatoid arthritis.
Edited By: Frederick A. Matsen III, M.D., Winston J. Warme, MD
Last updated Tuesday, November 13, 2007
SummaryOverview Total elbow replacement surgery (arthroplasty) can help restore comfort and function to elbows damaged by rheumatoid arthritis.
In elbow arthritis the joint surface is destroyed by wear and tear,
inflammation, injury, or previous surgery. This joint destruction makes
the elbow stiff, painful, and unable to carry out its normal functions.
Elbow joint replacement can be effective primarily in the management of
severe elbow involvement from rheumatoid arthritis.
After performing a clinical examination, an elbow surgeon
experienced in joint replacement can determine if rheumatoid arthritis
is the cause of the problem and if surgery is likely to be helpful.
Patients are most likely to benefit from this surgery if they are well
motivated and in optimal health.
The goal of elbow replacement arthroplasty is to restore functional
mechanics to the joint by removing scar tissue, balancing muscles, and
inserting a joint replacement in the place of the destroyed elbow. One
part of the artificial joint is fixed to the inside of the humerus (arm
bone) and the other part to the inside of the ulna (one of the forearm
bones). The two parts are then connected using a hinge pin that gives
the joint stability.
Total elbow joint replacement arthroplasty is a highly technical
procedure and is best performed by a surgical team who performs this
surgery regularly. Such a team can optimize the benefits and minimize
the risks. The two-hour procedure is performed under general or nerve
block anesthesia.
Elbow motion is started on the second day after the procedure, as
soon as the incision is ready. Patients learn to do their own physical
therapy and are usually discharged three to four days after surgery
when they are comfortable and have a good range of passive motion. The
recovery of strength and function may continue for up to a year after
surgery.
 Total
Elbow Replacement
Dr. Matsen featured in UWTV program discusses the diagnosis, surgery and
post-operative care for a patient with total elbow replacement surgery.
Surgery for Elbow arthritis at the University of Washington If you are interested in making an appointment to discuss this procedure, you can request an appointment using our online referrals website. To request a referral online, please click here. You can also call 206-598-7416 to make an appointment.
How useful was this page or article?
|
|