Radial Head Replacement/Fixation Protocol
[Pages:3]Radial Head Replacement/Fixation
Protocol
Warringal Medical Centre | Suite 7, 214 Burgundy St, Heidelberg, Victoria 3084 1300 ARMCLINIC | 1300 276 254 (03) 9459 0861 admin@
Radial Head Replacement/Fixation
Mr. Matthan Mammen MS, FRACS (Orth)
Orthopaedic Surgeon
Sling 4 weeks
When will I go home? You will be discharged on the same day as the operation
What can I do? Gentle elbow range of movement
What can't I do? No lifting, no pushing, no pulling
Acute phase (0-4 weeks) Goals
o Pain and oedema control while protecting healing tissues o Prevent joint contractures o Independence and compliance in splint wear Rehabilitation o Progression from gravity assisted elbow extension, to active assist, to active
range of movement of elbow extension o Active range of movement of shoulder, wrist, and hand o Light putty exercises for grip once full ROM of digits is restored o Oedema control o No lifting, pushing, pulling Criteria for progression o Pain control
Intermediate phase (4-8 weeks) Goals
o Restore ROM in elbow Rehabilitation
o Advance to elbow flexion after 4 weeks o Increase elbow range of movement including supination & pronation o If >20degrees lack of extension or elbow flexion 8 weeks) Goals
o Restore full range of movement in elbow Rehabilitation
o Home exercise program to maintain range of movement, strength, proprioception and function
Warringal Medical Centre | Suite 7, 214 Burgundy St, Heidelberg, Victoria 3084 1300 ARMCLINIC | 1300 276 254 (03) 9459 0861 admin@
Radial Head Replacement/Fixation
Mr. Matthan Mammen MS, FRACS (Orth)
Orthopaedic Surgeon
Guidelines for return to functional activities
Driving
Lifting
Swimming
8 weeks
3 months
4 weeks
Golf 3 months
Warringal Medical Centre | Suite 7, 214 Burgundy St, Heidelberg, Victoria 3084 1300 ARMCLINIC | 1300 276 254 (03) 9459 0861 admin@
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