Shoulder and Elbow Surgical Education

Elbow Replacement

Elbow replacement is indicated for arthritis of the elbow but can be used for special situations such as a very bad fracture. Elbow arthritis is not as common as arthritis in other joints such as the knee, hip, or shoulder, but it seems to be more common in patients with diseases such as rheumatoid arthritis. The goal of the surgery is to relieve the pain as well as to restore motion. The results are quite favorable. This surgery is intended to be used in patients so that they can resume routine activities of daily living. In this operation the arthritic bone is replaced with a hinged metal and plastic prosthesis. The metal components are cemented into the bone, and the plastic or polyethelene is located in the hinge to provide a smooth fluid range of motion. There is a 10 pound lifting restriction following this operation. Therefore, the procedure should be used with caution in the younger patient. There are other alternatives in the younger or more active population. Below are some x-rays before and after elbow replacement.

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This x-ray demonstrates severe bone on bone arthritis in the elbow. There is no joint space present as the cartilage has been worn away causing pain and loss of motion.	This is an elbow replacement. The arthritic bone has been replaced with a hinged prosthesis.