Radial Head Replacement
What Is Radial Head Replacement?
Radial head replacement is a surgical procedure where the radial head (the top part of the radius bone in the forearm, which helps form the elbow joint) is replaced with an artificial implant. This surgery is performed when the radial head is severely fractured or damaged and cannot be repaired with plates or screws.
When Is It Needed?
Your doctor may recommend radial head replacement if you have:
- Severe radial head fractures that are shattered or involve multiple fragments.
- Irreparable damage to the radial head after trauma.
- Instability of the elbow joint due to radial head injury.
- Failed previous surgery for radial head fractures.
The Procedure Step-by-Step
- Evaluation – X-rays and scans confirm the extent of damage.
- Anesthesia –General or regional anesthesia is given.
- Incision– The surgeon makes an incision to access the elbow joint.
- Removal – The damaged radial head is removed.
- Implant placement – A metal prosthesis is inserted to replace the radial head.
- Closure – The incision is closed, and recovery begins.
Recovery and Rehabilitation
- Hospital stay:Usually 1–2 days.
- Arm movement:Gentle exercises begin soon after surgery.
- Physiotherapy: Essential to restore strength and mobility.
- Return to activities: Daily activities resume in 6–12 weeks; heavy work may take longer.
Benefits
- Provides pain relief after severe fractures.
- Restores elbow stability and function.
- Allows patients to return to daily activities more quickly.
- Preserves motion compared to elbow fusion.
Risks & Considerations
- Possible complications: infection, stiffness, or implant loosening.
- Rare risk of nerve injury.
- Revision surgery may be needed if the implant wears out or fails.
- Recovery depends on age, bone quality, and overall health.
Key Message for Patients
Radial head replacement is a safe and effective surgery for patients with severe radial head fractures that cannot be repaired. By replacing the damaged bone with an artificial implant, the procedure restores elbow stability, relieves pain, and helps patients return to daily activities. With proper rehabilitation, most patients regain good function and enjoy long-term relief.
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