Post-Operative Care and Restrictions After Radial Head Replacement Surgery - Orthopedics

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Post-radial head replacement surgery


Hello, after undergoing surgery for a comminuted fracture of the left radial head and receiving a prosthetic radial head, what movements should I absolutely avoid in my daily life, and are there any specific actions I need to be cautious about? Are there any restrictions on lifting heavy objects? Thank you!

Ian, 20~29 year old female. Ask Date: 2022/05/09

Dr. Chen Bochen reply Orthopedics


Hello: It is advisable to avoid actions that involve supporting your weight on your elbows and movements that require forearm rotation.
While these actions are not absolutely prohibited, doing them too frequently may wear down your artificial radius.
Wishing you a speedy recovery.

Reply Date: 2022/05/09

More Info


After undergoing radial head replacement surgery, it is crucial to follow specific post-operative care guidelines and restrictions to ensure proper healing and regain optimal function of the arm. Here are some important considerations and recommendations for your recovery process:

1. Follow-Up Appointments:
Regular follow-up appointments with your orthopedic surgeon are essential. These visits allow the doctor to monitor your healing progress, assess the stability of the implant, and make necessary adjustments to your rehabilitation plan.


2. Physical Therapy:
Engaging in a structured physical therapy program is vital. A physical therapist will guide you through exercises designed to improve range of motion, strength, and function of your elbow and forearm. Adhering to the prescribed rehabilitation exercises will help prevent stiffness and promote recovery.


3. Movement Restrictions:
- Avoid Heavy Lifting: It is generally advised to avoid lifting heavy objects for at least 6 to 12 weeks post-surgery. Heavy lifting can place undue stress on the healing joint and the implant, potentially leading to complications.

- Limit Twisting Motions: Activities that involve twisting or rotating the forearm should be minimized, especially in the early stages of recovery. This includes actions like opening jars or using tools that require significant wrist or elbow rotation.

- No High-Impact Activities: Activities that involve high-impact or jarring motions, such as running or jumping, should be avoided until your surgeon gives you the green light.


4. Daily Activities:
- Gradual Return to Normal Activities: While you may gradually resume daily activities, it is essential to listen to your body. If you experience pain or discomfort during specific movements, stop and consult your healthcare provider.

- Use of Assistive Devices: Depending on your level of pain and mobility, you may benefit from using assistive devices (like a brace or splint) during the initial recovery phase to provide stability and support.


5. Pain Management:
Pain management is an integral part of your recovery. Follow your surgeon's recommendations regarding pain medications and use ice packs to reduce swelling and discomfort. If pain persists or worsens, contact your healthcare provider.


6. Signs of Complications:
Be vigilant for signs of complications, such as increased swelling, redness, warmth around the surgical site, or fever. These could indicate an infection or other issues that require immediate medical attention.


7. Nutrition and Hydration:
Maintaining a balanced diet rich in vitamins and minerals, particularly calcium and vitamin D, is essential for bone health and recovery. Staying well-hydrated also supports overall healing.


8. Long-Term Considerations:
- Activity Modification: As you recover, you may need to modify certain activities to accommodate your new joint. Discuss with your therapist or surgeon about safe ways to engage in hobbies or work-related tasks.

- Potential for Arthritis: Be aware that some patients may experience arthritis in the elbow joint over time, especially if the radial head was significantly damaged before surgery. Regular check-ups can help monitor joint health.

In summary, after radial head replacement surgery, it is crucial to adhere to your surgeon's guidelines, engage in physical therapy, and avoid activities that could jeopardize your recovery. By taking these precautions, you can promote healing and gradually return to your daily activities while minimizing the risk of complications. Always consult your healthcare provider for personalized advice and recommendations tailored to your specific situation.

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