Total Elbow Replacement

Imagine trying to lift your morning coffee mug, only to be stopped by sharp elbow pain. Or struggling to open a door, write, or cook because your elbow joint feels stiff and unreliable. For many people living with severe arthritis, complex fractures, or long-term joint damage, these everyday frustrations are all too familiar. If this sounds like your situation, Total elbow replacement sometimes called total elbow arthroplasty may be the solution. This surgery is designed to relieve pain, restore movement, and give you back the independence you deserve. In this guide, we’ll walk you step by step through what elbow joint replacement surgery involves, why it’s recommended, how to prepare, and what recovery looks like.

What is Elbow Replacement Surgery?

Total elbow replacement is a surgical procedure where the damaged parts of the elbow joint usually the ends of the upper arm bone (humerus) and the forearm bone (ulna) are replaced with artificial implants. These implants are designed to mimic the natural hinge motion of the elbow, easing pain and improving movement.

Types of Elbow Replacement

There isn’t a one-size-fits-all solution. Surgeons choose the best approach based on your condition, bone health, and lifestyle.

1. Linked (hinged) implants
   
   • The artificial parts are joined together, acting like a natural hinge.
     
   • Provides strong stability, especially when ligaments are weak or damaged.
     
   • Often used in cases of severe arthritis or fractures.
     
2. Unlinked (non-hinged) implants
   
   • The parts are not connected. Stability depends on healthy surrounding ligaments.
     
   • Best for patients with strong soft tissues and less severe joint damage.
     
3. Partial replacements
   
   • In some cases, only one side of the joint (usually the humerus) needs replacing.

Dr. Omer Sheriff will explain which type of implant is best for you during total elbow arthroplasty, considering your medical history and specific elbow condition.

Procedure

Here’s what typically happens during elbow replacement surgery:

• You’ll receive either general anesthesia (you’re asleep) or regional anesthesia (the arm is numbed).
  
• A small incision is made at the back of the elbow.
  
• Damaged bone and cartilage are carefully removed.
  
• The humerus and ulna are prepared to fit the implants securely.
  
• The artificial joint made of metal and plastic is positioned and fixed in place, often with special bone cement.
  
• The incision is closed, and the arm is placed in a soft dressing or splint.

The surgery usually lasts 2–3 hours.

Why is it Done?

Doctors recommend total elbow replacement when other treatments like medications, injections, or physical therapy are no longer enough. Common reasons include:

• Severe arthritis: Osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis can destroy the joint surface.
  
• Complex fractures: Some elbow fractures, especially in older adults, are too severe to repair with plates and screws.
  
• Joint deformity: Long-term damage or prior injuries may cause the elbow to twist or lock.
  
• Failed surgeries: If earlier procedures such as fixation or partial repairs didn’t succeed, replacement may be the next step.

How Should I Prepare for an Elbow Replacement?

Good preparation makes recovery smoother. Your care team may recommend:

• Medical evaluations – blood tests, imaging (X-rays or MRI), and a physical exam.
  
• Medication review – some drugs, especially blood thinners, may need to be adjusted before surgery.
  
• Home setup – place frequently used items within easy reach to avoid straining your arm.
  
• Support system – arrange for family or friends to help with cooking, bathing, or driving in the first few weeks.
  
• Prehab – gentle exercises, if advised, to strengthen surrounding muscles before surgery.

What are the Benefits of Elbow Replacement Surgery?

The benefits of total elbow replacement can truly be life-changing, offering lasting pain relief, improved mobility, and a renewed ability to enjoy daily activities with comfort and confidence.

• Pain relief – the main reason most patients seek this surgery.
  
• Improved function – easier to bend, straighten, lift light objects, and use your arm in daily tasks.
  
• Better quality of life – enjoy hobbies again, from gardening to writing.
  
• Long-term solution – most implants last 10–15 years, sometimes longer with good care.

What are Potential Risks and Complications of an Elbow Replacement?

While elbow joint replacement surgery is generally safe, all operations carry some risks. Possible complications include:

• Infection at the surgical site
  
• Nerve or blood vessel damage (rare)
  
• Implant loosening or wear over time
  
• Fracture of the surrounding bone
  
• Stiffness or reduced range of motion

Dr. Omer Sheriff will take steps to minimize these risks during total elbow replacement and guide you on how to protect your new joint for long-term success.

Implant Types

Elbow implants are made of strong metal (often cobalt-chromium or titanium) with a plastic spacer that mimics cartilage. Two main designs are used:

• Linked (hinged) – connected pieces for stability
  
• Unlinked (non-hinged) – separate components for patients with good ligaments

The choice depends on your unique elbow condition and activity level.

What You Can Expect

Before the procedure:

• You’ll undergo pre-op testing and meet with your anesthesiologist.
  
• You may be advised to avoid eating or drinking after midnight before surgery.

During the procedure:

• Surgery takes 2–3 hours.
  
• The surgeon removes damaged bone and inserts the implant.

After the procedure:

• You may spend 1–3 days in the hospital.
  
• Pain is managed with medications.
  
• Your arm will be supported in a splint or sling.
  
• Physical therapy begins early to restore gentle movement

Results

Most patients who undergo total elbow replacement notice dramatic pain relief within just a few weeks. Full recovery usually takes three to six months, depending on your overall health, commitment to physical therapy, and healing progress. This recovery phase is often referred to as elbow reconstruction surgery recovery time, and it’s a crucial step toward long-term success.

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