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Elbow replacement - discharge

Total elbow arthroplasty - discharge; Endoprosthetic elbow replacement - discharge

You had surgery to replace your elbow joint with artificial joint parts (prosthetics).

The surgeon made a cut (incision) in the back of your upper or lower arm and removed damaged tissue and parts of the bones. The surgeon then put the artificial joint in place and closed the skin with sutures (stitches).

Now that you're going home, be sure to follow your surgeon's instructions on how to take care of your new elbow. Use the information below as a reminder.

Images

Elbow prosthesis

When You're in the Hospital

While in the hospital, you should have received pain medicine. You also learned how to manage swelling around your new joint.

Your surgeon or physical therapist may have taught you exercises to do at home.

What to Expect at Home

Your elbow area may feel warm and tender for 2 to 4 weeks after surgery. The swelling should go down during this time.

For the first week after surgery, you may have a soft splint on your arm to hold your elbow in place. After the incision has healed, you may need to use a harder splint or brace that has a hinge.

Arrange for someone to help with chores such as shopping, bathing, making meals, and housework for up to 6 weeks. You may want to make some changes around your home so it is easier for you to take care of yourself.

You will need to wait 6 to 8 weeks before you can drive. Your surgeon or physical therapist will tell you when it is OK.

You may be able to start using your elbow as soon as 12 weeks after surgery. Full recovery can take up to a year.

Activity

How much you can use your arm and when you can start using it will depend on the condition of your new elbow. Be sure to ask the surgeon what limits you may have.

The surgeon will have you go to physical therapy to help you gain strength and use of your arm:

After the first week, you may be able to use your splint only while sleeping. Ask your surgeon if this is OK. You will need to avoid carrying anything or pulling items even when your splint is off.

By 6 weeks, you should be able to slowly increase daily activities to help make your elbow and arm stronger.

By 12 weeks, you should be able to lift more weight. Ask your surgeon or physical therapist what other activities you can do at this point. Your new elbow will likely have some limitations.

Make sure you know the proper way to use your elbow before you start any activity or move your arm for any reason. Ask your surgeon or physical therapist if you can:

Wound Care

The stitches on your wound will be removed about 1 week after surgery. Keep the dressing (bandage) over your wound clean and dry. You may change the dressing every day if you like.

Pain

Pain is normal after elbow replacement surgery. It should get better over time.

Your surgeon will give you a prescription for pain medicine. After surgery, get it filled when you go home so that you have it when you need it. Take the pain medicine when you start having pain. Waiting too long to take it allows the pain to get worse than it should.

Ibuprofen or another anti-inflammatory medicine may also help. Ask your doctor what other medicines are safe to take with your pain medicine. Follow instructions exactly on how to take your medicines.

Narcotic pain medicine (codeine, hydrocodone, and oxycodone) can make you constipated. If you are taking them, drink plenty of fluids, and eat fruits and vegetables and other high-fiber foods to help keep your stools loose.

Do not drink alcohol or drive if you are taking narcotic pain medicine. This medicine may make you too sleepy to drive safely.

When to Call the Doctor

Call the surgeon or nurse if you have any of the following:

Related Information

Osteoarthritis
Rheumatoid arthritis
Elbow replacement
Surgical wound care - open

References

Koehler SM, Ruch DS. Total elbow arthroplasty. In: Lee DH, Neviaser RJ, eds. Operative Techniques: Shoulder and Elbow Surgery. 2nd ed. Philadelphia, PA: Elsevier; 2019:chap 49.

Ozgur SE, Giangarra CE. The total elbow. In: Giangarra CE, Manske RC, eds. Clinical Orthopaedic Rehabilitation: A Team Approach. 4th ed. Philadelphia, PA: Elsevier; 2018:chap 11.

Throckmorton TW. Shoulder and elbow arthroplasty. In: Azar FM, Beaty JH, eds. Campbell's Operative Orthopaedics. 14th ed. Philadelphia, PA: Elsevier; 2021:chap 12.

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Review Date: 11/12/2020  

Reviewed By: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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