Elbow Debridement / Release (Arthroscopic / Open)

Indications: Stiff +/- arthritic elbow joint

In-patient from day 1 post op.
  • Active assisted progressing to active exercises for elbow flexion, extension, pronation and supination.
  • Decrease swelling with ice and elevation.
  • Teach shoulder, wrist and hand maintenance exercises.
  • Splints:
    • Extension splint to be worn at night
    • Flexion splint worn five times per day for 5-10 minutes each time.
    • Caring for your Splint

 

Out-patients

2-Weeks

  • Passive mobilization techniques
  • Isometric elbow exercises
  • Functional rehab with OT if required
  • Splints:

 

Milestones

Week 2

Passive ROM 75% of pre-op level
Week 6 Active ROM  75% of pre-op level
Flexion splint discarded when full extension achieved or AROM has reached a plateau.
Extension night splint is worn for 6 months post-op.
(Caring for your Splint)
 

 Any acute loss of movement should be referred to the next Upper Limb clinic


Return to functional activities

Driving                        After 3 weeks

Swimming                   Breaststroke:   3 weeks

Golf                            2 Months

Lifting                         Light lifting can begin at 3 weeks.  Avoid lifting heavy items for 6 months.

Return to work          Sedentary job: 2 weeks

                                    Manual job:     Guided by Surgeon

For more information please contact therapists@shoulderdoc.co.uk


Splint Care

DO NOT DRIVE WHILST WEARING THE SPLINT UNLESS THIS HAS BEEN AGREED WITH YOUR INSURANCE COMPANY.

DO NOT WEAR THE SPLINT WHILST OPERATING MACHINERY UNLESS IT HAS BEEN MADE FOR THIS PURPOSE.

1. It is important to wear the splint at the times indicated by the therapist.
2. DO NOT alter the splint in any way.
3. DO NOT leave the splint where it will get too hot as the material may melt (i.e. sun, radiator, hot water)
4. The splint and straps may be washed in Lukewarm soapy water.
5. If there is any redness, swelling, numbness, discomfort or increased pain contact the therapist or clinic immediately. If this occurs out of office hours contact your GP immediately or attend your local Accident & Emergency Department.


10/03/2004

 
Therapists


- Specialist Therapists

+ Rehab Protocols
-
Shoulder Replacement
- Fracture Shoulder Replacement
- ASD/ACJ Excision
- Rotator Cuff Repair
- MUA/Capsular Release
- Shoulder Stabilisation/SLAP
- Posterior Stabilisation
- Thermal Capsular Shrinkage
- Weaver-Dunn
- Shoulder Fracture Fixation
- Elbow Debridement/Release


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