Elbow Replacement (Total Elbow Arthroplasty)

Overview

In a total elbow replacement, the damaged ends of the humerus and ulna are replaced with metal components joined by a hinge. It reliably relieves pain and restores a functional arc of motion for patients with advanced elbow arthritis or fractures that cannot be fixed.

Elbow replacement is most often used for rheumatoid and other inflammatory arthritis, advanced post-traumatic arthritis, and some complex distal humerus fractures in older adults. Because the implant has permanent lifting limits, usually about 5 to 10 pounds with the treated arm, it is generally reserved for older or lower-demand patients. Younger patients usually do better with joint-preserving options such as arthroscopic debridement. A partial replacement, radial head replacement, is used for some radial head fractures.

Benefits

• Significant pain relief for advanced elbow arthritis
• Restores a functional range of motion
• An option for fractures that cannot be fixed

Who is a Candidate?

Elbow Replacement may be appropriate for patients who meet certain criteria. Ideal candidates include:

• Advanced rheumatoid or inflammatory arthritis of the elbow
• Severe post-traumatic arthritis
• Complex distal humerus fractures in older adults

Recovery & Rehabilitation

Motion usually begins within days to a couple of weeks. Most patients regain functional motion over three to six months and must follow permanent lifting restrictions to protect the implant.