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: 2022/05/13

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 it is not absolutely prohibited, doing these movements too frequently can wear down your artificial radius.
Wishing you a speedy recovery.

Reply Date: 2022/05/13

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 in your arm. The radial head is an essential part of the elbow joint, and its replacement can significantly impact your range of motion and strength. Here are some key considerations and recommendations for your post-operative care:

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


2. Physical Therapy:
- Engaging in a structured physical therapy program is vital for recovery. A physical therapist will guide you through exercises designed to restore strength, flexibility, and range of motion in your elbow. Adhering to the prescribed therapy regimen is crucial for optimal 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. The exact duration may vary based on your individual healing process and the surgeon's recommendations. Lifting heavy items can place undue stress on the new implant and the surrounding tissues, potentially leading to complications.

- Limit Overhead Activities: Activities that require lifting your arm above shoulder level should be minimized initially. This position can strain the elbow joint and the surrounding muscles, which may still be healing.

- Avoid Twisting Motions: Be cautious with movements that involve twisting or rotating the forearm, as these can put stress on the elbow joint. Gradually reintroduce these movements as advised by your healthcare provider.


4. Pain Management:
- Post-operative pain is common, and managing it effectively is crucial for your recovery. Follow your doctor's recommendations regarding pain medications and report any severe or persistent pain that does not improve with prescribed treatments.


5. Swelling and Bruising:
- Swelling is a normal part of the healing process. To manage swelling, keep your arm elevated when possible, and apply ice packs as directed by your healthcare provider. Avoiding excessive movement during the initial healing phase can also help reduce swelling.


6. Signs of Complications:
- Be vigilant for signs of complications, such as increased pain, swelling, redness, or warmth around the surgical site, fever, or any unusual symptoms. If you experience any of these, contact your healthcare provider immediately.


7. Gradual Return to Activities:
- As you progress in your recovery, you can gradually return to daily activities. However, it is essential to listen to your body and not rush the process. Your therapist will help you determine when it is safe to resume specific activities, including sports or heavy lifting.


8. Long-Term Considerations:
- Understand that while many patients return to their pre-injury activities, some may experience limitations in their range of motion or strength. Long-term follow-up with your orthopedic surgeon may be necessary to monitor the condition of the implant and the surrounding joint.


Conclusion:
In summary, after radial head replacement surgery, it is essential to adhere to your surgeon's guidelines regarding movement restrictions, physical therapy, and follow-up care. Avoid heavy lifting and overhead activities during the initial healing phase, and be aware of any signs of complications. With proper care and rehabilitation, many patients can achieve significant improvements in their function and quality of life. Always consult your healthcare provider for personalized advice tailored to your specific situation.

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