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Discharge Instructions for Total Elbow Replacement

You had a procedure called total elbow replacement. Artificial elbow parts replace the surfaces of your damaged elbow. The artificial elbow has two parts. One part fits into your humerus (upper arm). The other part fits into your ulna (forearm). The resulting hinge allows your elbow to bend. Here’s what you need to know about home care following surgery.

Activity

  • Don’t use your affected arm to get out of bed or up from a chair. Use the other arm instead.

  • Don’t lift anything heavier than 1 pound for the first 12 weeks after surgery. After that, don’t lift anything heavier than a 1-gallon container of milk (about 8.6 pounds).

  • Avoid contact sports, such as basketball or football.

  • Avoid activities such as hammering, heavy or repetitive lifting, or activities that put too much strain on your elbow. Avoid sweeping, mopping, or running the vacuum cleaner using your affected arm. Ask your doctor when you may resume these activities.

  • Do the exercises that you learned in the hospital, as instructed by your doctor.

Other Home Care

  • Take your pain medication exactly as directed.

  • Don’t be alarmed by some swelling around the incision. This is normal. Wear loose-fitting clothing to avoid pressure on the incision.

  • Use an ice pack or bag of frozen peas—or something similar—wrapped in a thin towel to reduce the swelling. Apply the ice pack for 20 minutes; then remove it for 20 minutes. Repeat as necessary.

  • Follow your doctor’s instructions about wearing and caring for a splint, sling, or dressing.

  • Shower as necessary. Cover your elbow with plastic to keep it dry.

  • Don’t sleep on the side of your operation.

  • Avoid infection by washing your hands often. If an infection occurs, it will need to be treated immediately. So call your doctor right away if you think you have an infection. Symptoms of infection include a fever or a wound that leaks white, green, or yellow fluid.

  • If you received an artificial joint, tell all your health care providers—including your dentist—about the joint. You will likely need to take antibiotics before certain procedures, including dental work, to reduce the risk for infection.

Follow-Up

Make a follow-up appointment as directed by our staff.

 

When to Seek Medical Attention

Call 911 right away if you have any of the following:

  • Shortness of breath

  • Chest pain

Otherwise, call your doctor immediately if you have any of the following:

  • A fever above 100.4°F (38°C) or shaking chills

  • Increased redness, tenderness, or swelling of the wound

  • Drainage from the incision

  • Opening of the incision

  • Increased pain with or without activity

 

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