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Elbow replacement - discharge
Total elbow arthroplasty - discharge; Endoprosthetic elbow replacement - discharge
When You Were in the Hospital
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).
You were given pain medicine and learned how to manage swelling around your new joint.
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. Some people need to use a harder splint or brace that has a hinge when the incision has healed
You will need 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 4 to 6 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.
How much you can use your arm and when you can start using it will depend on the condition of your 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:
- If you have a splint, you may need to wait a few weeks to start therapy.
- Before starting physical therapy, ask your surgeon if you should begin to increase movement in your elbow by gently bending it back and forth. If you have pain or problems with your incision when you do this, you may be bending the elbow too much and need to stop.
- Reduce soreness after physical therapy by putting ice on the joint for 15 minutes. Wrap the ice in cloth. DO NOT put ice directly on the skin because this can cause frostbite.
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.
- Ask your surgeon or physical therapist how much weight you can lift.
- You may also need to do shoulder and spine range-of-motion exercises.
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.
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:
- Lift things heavier than 10 to 15 pounds for the rest of your life
- Play golf or tennis, or throw objects (such as a ball) for the rest of your life
- Do any activities that make you lift your elbow over and over, such as shoveling or shooting basketballs
- Do jamming or pounding activities, such as hammering
- Do impact sports, such as boxing or football
- Do physical activities that need quick stop and start motions or twisting with your elbow
- Push or pull heavy objects
The stitches on your wound will be removed about 1 week after surgery. Keep your incision and the dressing clean and dry for 2 weeks. You may change the dressing every day if you like.
DO NOT shower until after your follow-up appointment with your doctor. Your doctor will tell you when you can begin taking showers. When you do start showering again, let the water run over the incision, but do not let the water beat down on it. DO NOT scrub. Wash your incision gently and pat it dry.
DO NOT soak the wound in a bathtub, hot tub, or swimming pool.
Pain is normal after elbow replacement surgery. It should get better over time.
Your doctor will give you a prescription for pain medicine. Get it filled when you go home so that you have it when you need it. Take your pain medicine when you start having pain so pain does not get too bad.
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.
DO NOT 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:
- Blood is soaking through your dressing and the bleeding does not stop when you put pressure on the area
- Pain does not go away after you take pain medicine
- You have swelling or pain in your arm
- Numbness or tingling in your fingers or hand
- Your hand or fingers look darker than normal or are cool to the touch
- You have redness, pain, swelling, or yellowish discharge from your incision
- You have a temperature higher than 101 °F (38.3°C)
- Your new elbow joint feels loose, like it is moving around or shifting
Throckmorton TW. Shoulder and elbow arthroplasty. In: Canale ST, Beatty JH, eds. Campbell's Operative Orthopaedics. 12th ed. Philadelphia, PA: Elsevier Mosby; 2012:chap 12.
Reviewed By: C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.