Elbow Rehabilitation

Radial Head Replacement / Fixation

Sling

When will I go home?

What can I do?

What can’t I do?

4 weeksYou will be discharged on the same day as the operationGentle elbow range of movementNo lifting, no pushing, no pulling

Acute phase (0-4 weeks)

Goals

  • Pain and oedema control while protecting healing tissues
  • Prevent joint contractures
  • Independence and compliance in splint wear

Rehabilitation

  • Progression from gravity assisted elbow extension, to active assist, to active range of movement of elbow extension
  • Active range of movement of shoulder, wrist, and hand
  • Light putty exercises for grip once full ROM of digits is restored
  • Oedema control
  • No lifting, pushing, pulling

Criteria for progression

  • Pain control

Intermediate phase (4-8 weeks)

Goals

  • Restore ROM in elbow

Rehabilitation

  • Advance to elbow flexion after 4 weeks
  • Increase elbow range of movement including supination & pronation
  • If >20degrees lack of extension or elbow flexion <130 degrees at 8 weeks add a static elbow brace

Late phase (>8 weeks)

Goals

  • Restore full range of movement in elbow

Rehabilitation

  • Home exercise program to maintain range of movement, strength, proprioception and function

Guidelines for return to functional activities

Driving

Lifting

Swimming

Golf

8 weeks3 months4 weeks3 months
Matthan Mammen
ELBOW, WRIST AND HAND SPECIALIST

Mr. Matthan Mammen

MS, FRACS (Orth)

Mr. Matthan Mammen is an internationally qualified orthopaedic surgeon, who is a Fellow of the Royal Australasian College of Surgeons and the Australian Orthopaedic Association.

Shoulder Bone IconShoulder Bone Icon

Shoulder Joint

Elbow IconElbow Icon

Elbow Joint

Wrist IconWrist Icon

Wrist Joint

Hand IconHand Icon

Hand Joints

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