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 what actions should I be cautious about? Are there any restrictions on lifting heavy objects? Thank you!

Ian, 20~29 year old female. Ask Date: 2022/05/11

Dr. Chen Bochen reply Orthopedics


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

Reply Date: 2022/05/11

More Info


After undergoing radial head replacement surgery, it is crucial to adhere to specific post-operative care guidelines and restrictions to ensure optimal recovery and prevent complications. The radial head is a critical component of the elbow joint, and its replacement is often necessary due to severe fractures or degenerative conditions. Here are some essential considerations for post-operative care and restrictions:

Immediate Post-Operative Care
1. Wound Care: Keep the surgical site clean and dry. Follow your surgeon's instructions regarding dressing changes and signs of infection, such as increased redness, swelling, or discharge.

2. Pain Management: Pain is common after surgery. Use prescribed medications as directed and communicate with your healthcare provider if pain is not adequately controlled.

3. Swelling Management: Elevate your arm above heart level to reduce swelling. Ice packs can also be applied to the area to help manage swelling and discomfort.

4. Physical Therapy: Engage in physical therapy as recommended. Rehabilitation is crucial for regaining strength and range of motion. Your therapist will guide you through exercises tailored to your recovery stage.


Activity Restrictions
1. Avoid Heavy Lifting: It is essential to avoid lifting heavy objects for at least six weeks post-surgery or as directed by your surgeon. Lifting heavy weights can strain the healing joint and lead to complications.

2. Limit Range of Motion: Initially, you may have restrictions on how far you can bend or extend your elbow. Follow your surgeon's guidelines on the range of motion exercises to avoid overstressing the joint.

3. Avoid High-Impact Activities: Activities that involve jumping, running, or sudden movements should be avoided during the early recovery phase. These can put undue stress on the elbow joint.

4. No Twisting Motions: Avoid twisting motions of the forearm and wrist, especially when lifting or carrying objects. This can strain the surgical site and hinder healing.

5. Gradual Return to Activities: As you progress in your recovery, your healthcare provider will guide you on when it is safe to resume normal activities, including work and recreational sports.

Long-Term Considerations
1. Monitor for Complications: Be vigilant for signs of complications, such as persistent pain, swelling, or loss of function. If you experience any unusual symptoms, contact your healthcare provider promptly.

2. Follow-Up Appointments: Attend all scheduled follow-up appointments with your surgeon to monitor your recovery progress and make any necessary adjustments to your rehabilitation plan.

3. Lifestyle Modifications: Consider making lifestyle adjustments to protect your elbow joint in the long term. This may include avoiding repetitive overhead activities or using ergonomic tools to reduce strain.

4. Strengthening Exercises: Once cleared by your healthcare provider, incorporate strengthening exercises into your routine to support the elbow joint and prevent future injuries.


Conclusion
In summary, after radial head replacement surgery, it is vital to follow your surgeon's instructions regarding activity restrictions and rehabilitation. Avoid heavy lifting, high-impact activities, and twisting motions to protect the healing joint. Engage in physical therapy and attend follow-up appointments to ensure a successful recovery. By adhering to these guidelines, you can promote healing and regain function in your elbow, allowing you to return to your daily activities safely. Always consult with your healthcare provider for personalized advice tailored to your specific situation.

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