Thailand Orthopedic Elbow Joint Surgery.

What is elbow replacement?

In elbow replacement surgery, the painful surfaces of the damaged elbow are replaced with artificial elbow parts. One part fits into the humerus (upper arm), and the other part fits into the ulna (forearm). The two parts are then connected and held together by a pin. The resulting hinge allows the elbow to bend.

How do I prepare for elbow replacement surgery?
If you and your surgeon decide that total elbow replacement is right for you, a date will be scheduled for your surgery. Several things may be necessary to prepare for surgery. For example, your surgeon might ask you to have a physical examination by your primary care physician. This will ensure that other health problems you may have, such as diabetes or high blood pressure, will be treated before surgery. Your doctor, or a staff member, will advise you about the things you can do to prepare for your hospital stay, and your rehabilitation after surgery.

What happens during elbow replacement surgery?
On the day of surgery, an intravenous tube will be inserted into your unaffected arm to administer necessary medications and fluids during surgery. You will then be taken to the operating room and given anesthesia. After the anesthesia takes effect, your elbow will be scrubbed and sterilized with special solution.

The procedure is performed through an incision over the elbow that will expose the joint. Special, precision guides and instruments will be used to cut the ends of the humerus (upper arm bone) and ulna (forearm bone), and prepare the bone to accept the implant. The implants are then inserted and fixated in place with a special kind of opoxy cement for bones. The two parts of the hinge are then brought together and secured with a pin. When the surgeon is satisfied with the fit and function, the incision will be closed and covered with dressings. The surgery usually takes one to three hours, although this depends on the severity of the arthritis in your elbow.

A sterile bandage will be placed over the wound, and you will be sent to the recovery room where you will be carefully monitored. As the anesthesia wears off you will slowly regain consciousness. A nurse will be with you, and may encourage you to cough or breathe deeply to help clear your lungs. Your arm will be in a splint, and it may be wrapped in an ice pack to help control pain and swelling. You will also be given pain medication. When you are fully conscious, you will be taken back to your hospital room. Read more...