Elbow Replacement: Total and Hemi
Overview
Elbow replacement is used for severe elbow joint damage when the joint surface cannot be preserved or reconstructed reliably. This may occur with advanced arthritis, inflammatory joint disease or complex fractures. Total elbow replacement replaces both sides of the joint, while hemi elbow replacement replaces part of the joint in selected fracture situations.
The goal is to reduce pain and restore a useful arc of motion for daily activities such as eating, dressing and personal care.
Who may benefit from elbow replacement?
Elbow replacement may be considered for patients with severe pain, stiffness and joint destruction, or elderly patients with complex fractures where fixation is unlikely to provide reliable function. Suitability depends on bone quality, soft tissue stability, activity level and ability to follow lifelong lifting precautions.
What does the procedure involve?
Damaged joint surfaces are removed and replaced with metal and polyethylene components. Total elbow replacement uses linked or unlinked components depending on the situation. Hemi replacement may be used when one side of the joint is replaced and the remaining joint surface is suitable.
Recovery after elbow replacement
Early recovery focuses on wound care, swelling control and safe movement. Because elbow replacement implants can be affected by heavy loading, patients usually need long-term restrictions on lifting and repetitive force through the arm.
Rehabilitation protocol
You will receive an elbow replacement protocol matched to total or hemi replacement and any associated soft tissue repair.
FAQs
Why would an elbow fracture need replacement?
Some fractures are too fragmented or osteoporotic to reconstruct reliably, especially in older patients.
Can I lift normally after elbow replacement?
No. Most patients need permanent lifting limits to protect the implant.
How long is recovery?
Daily function improves over weeks to months, with ongoing gains in comfort and motion.
Is physiotherapy required?
Yes, therapy helps regain safe motion while protecting the implant.
What are the main risks?
Risks include infection, stiffness, nerve irritation, loosening, instability and fracture.
Book or Refer Today
For severe elbow arthritis or complex elbow fracture, book a consultation to discuss reconstruction and replacement options.
Reconstructive Orthopaedics Melbourne (ROM)
We restore mobility, reduce pain, and improve quality of life — through reconstructive orthopaedic surgery driven by evidence and advanced biomechanics.