If a disease such as rheumatoid arthritis or injury damages your elbow, your doctor may recommend surgery to replace your joints so you can reduce pain and move better. Two implants are attached to the arm bones. Metal and plastic hinges connect the implants. You need an experienced surgeon. Consult your rheumatologist or another doctor. You can also consult Dr. Abhijit Agashe who provides Elbow Replacement Treatment in Pune with 13 years of experience as an Orthopedist.
Various conditions can cause elbow pain and disability, leading patients and their doctors to consider elbow replacement surgery.
Your surgeon will make an incision, usually at the back of the elbow to reach the elbow joint. After making the incision, your surgeon will gently move the muscle to one side to get close to the bone. After removing the scar tissue and bone spurs around the joint, your surgeon will prepare the humerus to accommodate the metal piece on one side of the joint that will be replaced. The same preparation was made for the ulna.
The replacement stem is placed in the bones of the humerus and ulna and fixed with bone cement. After the wound is closed than a soft padded bandage is placed to protect the incision as the wound heals.
Some surgeons place a temporary tube in the joint to drain the surgical fluid. In the first few days after the operation, the tube can be easily removed in the ward.
Implants - The metal replacement parts are made of cobalt-chromium alloy or titanium alloy and coated with polyethylene (plastic). The bone cement is made of polymethylmethacrylate (acrylic acid, a plastic).
The most common complications are:
Your doctor will ask about your medical history. Tell them about any of your medical conditions, including allergies. Also, tell your doctor if you drink alcohol and what medications you take. If you smoke, you must stop smoking before the operation.
An elbow replacement surgery takes about 2 hours. You will receive anesthesia, so you will not be awake because of it. You will need to stay in the hospital for some period of time.
After the operation, sutures and bandages will be placed on your new elbow. You may also need to fix your arm on the splint to keep it stable as it heals.
Because elbow replacement involves cutting through the skin, tendons, and bones, you will need strong painkillers after the operation. You will also take pain medicine for 1 to 2 weeks after you leave the hospital.
It takes time to adjust to the new elbow. For example, you will not be able to lift anything heavier than a cup of coffee for 6 weeks after surgery. It is a good idea to arrange help in advance.