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 replacement with 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: 2022/05/12

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, frequent repetition may wear down your artificial radius.
Wishing you a smooth recovery.

Reply Date: 2022/05/12

More Info


Post-operative care following radial head replacement surgery is crucial for ensuring a successful recovery and minimizing complications. After undergoing this procedure, patients typically have specific restrictions and guidelines to follow during their rehabilitation phase. Here’s a comprehensive overview of what to expect and what to avoid during your recovery.


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: It’s common to experience pain and discomfort after surgery. Your doctor may prescribe pain medications or recommend over-the-counter options like acetaminophen or ibuprofen. Always follow the prescribed dosage and consult your doctor if pain persists or worsens.

3. Swelling Management: Elevating your arm and applying ice packs can help reduce swelling. Aim to keep your arm elevated above heart level as much as possible during the first few days post-surgery.


Activity Restrictions
1. Avoid Heavy Lifting: It is essential to avoid lifting heavy objects for at least six weeks post-surgery. Heavy lifting can place undue stress on the healing joint and may compromise the surgical repair.

2. Limit Range of Motion: Initially, you may be advised to limit the range of motion in your elbow. Follow your physical therapist's or surgeon's guidelines on how much movement is safe during the early stages of recovery.

3. No High-Impact Activities: Activities that involve high-impact or jarring motions, such as running or jumping, should be avoided until your doctor gives you the green light. These activities can increase the risk of complications or injury to the surgical site.

4. Avoid Twisting Motions: Be cautious with movements that involve twisting or rotating your forearm, as these can strain the surgical site.

Rehabilitation and Physical Therapy
1. Follow a Rehabilitation Program: Engage in a structured rehabilitation program as prescribed by your healthcare provider. This may include specific exercises to improve strength and range of motion.

2. Gradual Progression: As you heal, your physical therapist will guide you on gradually increasing your activity level. It’s important to listen to your body and not rush the process.

3. Monitor for Pain: If you experience significant pain during rehabilitation exercises, inform your therapist or doctor. Pain can be a sign that you are pushing too hard or that there may be complications.


Long-Term Considerations
1. Lifestyle Modifications: After recovery, you may need to make some lifestyle adjustments to protect your elbow joint. This could include avoiding certain sports or activities that place excessive strain on the joint.

2. Regular Follow-ups: Keep up with regular follow-up appointments with your surgeon to monitor your recovery and address any concerns that may arise.

3. Listen to Your Body: Pay attention to how your body responds during daily activities. If you experience pain or discomfort, it may be necessary to modify your activities or consult your healthcare provider.


Conclusion
In summary, after radial head replacement surgery, it is vital to adhere to your surgeon's guidelines regarding activity restrictions and rehabilitation. Avoid heavy lifting, high-impact activities, and twisting motions during the initial recovery phase. Engage in a structured rehabilitation program and maintain regular follow-ups with your healthcare provider. By following these guidelines, you can promote healing and regain function in your elbow while minimizing the risk of complications. Always consult your healthcare provider for personalized advice tailored to your specific situation.

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