Total Elbow Replacement at ROC

By Dr. Nathan Orvets, ROC Orthopedics

When severe elbow pain begins to interfere with everyday activities, elbow replacement surgery may be an option. While it’s less common than hip, knee, or shoulder replacement, elbow joint replacement can be just as effective in relieving pain and restoring movement. For many patients, it represents a return to doing what they love.

ROC’s specialists will conduct a thorough evaluation to determine whether a total elbow replacement is the best treatment for your condition. In general, the best candidates for elbow replacement have strong tissue quality remaining in the joint and are experiencing one or more of the following: 

• Persistent joint pain 

• Stiffness that limits movement 

• Reduced mobility (difficulty bending or rotating the elbow) 

• Swelling of the joint 

• Arthritis, including rheumatoid, osteoarthritis, or post-traumatic arthritis 

• Severe elbow fractures 

In some cases, patients may be better suited for a different type of elbow surgery. The elbow functions as a hinge joint, formed by three bones: 
the humerus (upper arm bone), the ulna (forearm bone on the pinky side), and the radius (forearm bone on the thumb side). 

Each bone surface is covered with smooth articular cartilage, which protects the joint and allows it to move freely. The synovial membrane lines the inside of the joint, producing fluid that lubricates and reduces friction. 

If only one of these structures is damaged by arthritis or injury, ROC specialists may recommend other procedures such as a synovectomy or arthroscopic debridement to relieve pain and preserve joint function. 

During an elbow replacement, the surgeon removes the damaged portions of the humerus and ulna and replaces them with artificial components designed to replicate normal elbow function. The artificial joint typically includes two metal stems and a metal-and-plastic hinge that connects them. 

ROC’s orthopedic surgeons perform many elbow replacements as outpatient procedures, allowing patients to return home the same day. Benefits of outpatient joint replacement include: 

• Lower risk of infection 

• No overnight hospital stay 

• Recovery in the comfort of your own home 

ROC uses advanced, multimodal pain management techniques to help patients remain comfortable at home while minimizing reliance on narcotic medications. 

After surgery, your ROC specialist will provide specific recovery instructions, which may include: 

• Keeping the arm elevated to reduce swelling 

• Performing light hand and wrist exercises to maintain mobility 

• Wearing a splint and avoiding weight-bearing activities for 2–4 weeks 

Physical therapy typically begins a few weeks after surgery to restore range of motion and build strength. Research shows that individualized rehabilitation and careful follow-up play a key role in long-term success. 

While technology continues to advance, elbow replacements are most often recommended for older, less active adults. This helps preserve implant longevity and reduces the risk of wear over time. Even after full recovery, most patients are advised to limit heavy lifting to no more than ten pounds to protect the new joint. With proper care and activity modification, however, elbow replacement can provide lasting pain relief and improved quality of life for many years. 

If you are considering elbow replacement surgery to relieve pain and restore your range of motion, the first step is speaking with a ROC orthopedic specialist. 

Schedule a consultation today to learn whether elbow replacement is the right option for you and take the next step toward pain-free movement.