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Elbow Replacement Surgery in India

What is elbow replacement surgery?

The human elbow comprises three types of bones:

  • The upper arm bone is known as Humerus.
  • The forearm bone on the finger side is known as Ulna.
  • The forearm bone on the thumb side is known as Radius.

When these parts of an elbow (Humerus and Ulna) get damaged, they are removed and replaced with artificial components made of metals and hard plastic. This complete process of removal and replacement is known as Elbow replacement surgery.

When it's needed?

When a single elbow gets hurt, rheumatoid arthritis and traumatic fractures occur. In certain situations, the damage caused can be surgically healed. But the medical team may suggest elbow replacement surgery mainly due to extreme pain with extensive damage.

Elbow replacement surgery is recommended in case of Osteoarthritis, Post-traumatic Arthritis, and Instability due to ligament damage.

Symptoms

The most prominent are the following symptoms:
  • Rigidity
  • Uh, pain
  • Difficulties with moving the joint
  • Spurs of bones
  • The grating or scratching of the bone
  • Locking of joints
  • Joint Instability

Causes

Although every injury is different, there are a few primary conditions that can lead to surgery to replace the elbow.

Osteoarthritis, Rheumatoid Arthritis & Post-traumatic Arthritis: Rheumatoid arthritis, the most common inflammatory arthritis, is an autoimmune disease that affects the lining of the joints and causes persistent swelling, which can escalate towards painful cartilage. The most common form of arthritis, especially for older adults, is osteoarthritis. Considered a "wear and tear" condition that typically affects people above the age of forty-five, as the cartilage throughout bones wears away, osteoarthritis develops, causing bones to rub against one another painfully.

Instability of Elbows: Elbow dysfunction and displacements happen whenever the ligaments that keep the elbow joint together can be weakened, often caused by a fracture to the bone and ligaments.

Severe Fractures: When an elbow breaks, one or both the bones that form the elbow are badly fractured, or if an old fracture does not heal properly, complete reconstruction of the elbow joint is be required.

Treatment

Many patients experiencing shoulder or elbow joint arthritis can undergo further care from their physician, physiotherapist, or rheumatologist before they consult a joint replacement surgeon. They involve:

  • Anti-inflammatory non-steroidal medications (NSAIDs)
  • General anesthesia injections to numb the nerves
  • Physiotherapy
  • Anti-rheumatic drug-modifying disease (DMARDs)
  • Injections of steroids
Unless the discomfort is not resolved by all these procedures, then you might need surgery. After all, the most acceptable alternative won't always be a joint substitute. Some alternative therapies for surgery include:

  • Joint washing (debridement) to relieve pain
  • It is not mostly performed on the shoulder joint, removal of the lining of the joint
  • Withdrawal of a part of the bone

Total removal of the elbow: The elbow joint and portions of the upper arm and forearm are replaced by a prosthetic hinge implant by the doctor.

Partial elbow replacement: Only the damaged portion of the joint is removed by your surgeon and replaced with a prosthesis, retaining much of the bone in the upper forearm.

Total Elbow Replacement Revision: Elbow implants can last for up to 20 years. When the surgeon substitutes loosened prosthetic replacements with fresh ones, revision surgery happens.

Diagnosis

An orthopedic surgeon may perform a thorough elbow examination, examine X-rays, and administer physical testing to diagnose the condition. If the patient suffers from any joint pain, and have experienced previous injuries that may have impacted their current elbow condition, they may be required to describe their pain. Keeping a record of their elbow pain to share with the physician might be beneficial. Through a series of exercises, which involve folding and straightening, the elbow joints are assessed for strength and range of movement. Any modification of size or form, or any exceptional circumstances, may be indicated by X-rays of their elbow joint.

Preparation

Evaluation of Medical condition

The orthopedist will ask the patient to schedule a full physical examination with their family doctor a few weeks before the actual surgery plan to have elbow replacement surgery. To guarantee that they are healthy enough to have the surgery and finish the healing process, this is necessary. A physician, such as a cardiologist, may also examine several patients with serious medical problems, such as heart disease, before the procedure.

Medicines

Be careful to chat about the drugs the patients are taking with your orthopedic surgeon. Before the actual surgery, some drugs may need to stop. The preceding over-the-counter medications, for example, can cause severe bleeding and should be stopped two weeks before the operation

  • Non-steroidal anti-inflammatory drugs, such as sodium naproxen, ibuprofen, and aspirin
  • Most meds for arthritis
  • If the patients consume blood thinners, their primary care doctor or cardiologist will warn them before surgery to avoid taking these drugs.

Procedure

Ahead of Your Operation

On the day of your operation, you are likely to be hospitalized. You will be brought to the preoperative treatment area following admission and will consult with a physician from the anesthesia unit. The sort of anesthesia that will be used will be informed, your anesthesiologist, and your surgeon. A general anesthetic in most complete elbow repair surgeries will be given.

Procedure for Surgery

Your surgeon will cut, usually at the back of the elbow, to access the elbow. Your surgeon will slowly lift the muscles aside to get access to the bone after creating the incision. Your surgeon will prepare the humerus to match the metallic piece that will substitute the joints after extracting scar tissue and spurs around the joint.

In the humerus and ulna bones, the substitute stems are inserted and fixed in place with bone cement. A hinge pin separates the two stems. A padded dressing is then applied after the wound is healed, to cover the incision as it heals. A temporary tube will be inserted into the joint by some surgeons to remove the surgical fluid. In your emergency room, this tube can safely be removed within the first few days after surgery.

After surgery

Surgery to repair the elbow takes about 2 hours. Patients will be given anesthesia, but you're not going to be "awake" for it. You will need to spend up to 4 days in the hospital. You will have stitches and a bandage on your new elbow after the procedure. To keep it safe as it recovers, you will need to keep your arm in a splint.

Even though elbow reconstruction requires cutting the skin, tendons, and bone, following surgery, you will need powerful pain medications. After you go home from the hospital, you'll still take pain meds for 1 to 2 weeks.

Getting used to your new elbow will take time. For example, for six weeks after surgery, you would not be able to lift something heavier than a cup of coffee. It's a smart idea to set up assistance ahead of time.

Recovery

After the operation, your elbow region can feel warm and tender for 2 to 4 weeks. During this time, the swelling should go down. You will have a gentle splint on your forearm for the first week after surgery to keep your elbow in place. You will need to use a splint or brace that has a hinge after the incision has healed.

Several doses of antibiotics are administered to you by your medical team to avoid infection. The day after surgery, most people can eat solid food and get out of bed. After the surgery, you would most likely stay in the hospital for 2 to 4 days.

Risk

During and after surgery, any of the following reactions or complications may happen and may require hospitalization, such as additional surgery and withdrawal of the implant:

Infections: In any surgical operation, infections can happen. As little as 5.0 percent of patients get an infection in the first two years, according to a new report. It is mostly caused by bacteria entering the bloodstream through dental procedures or from urinary tract, skin, or fingernail disorders when infection occurs after complete elbow replacement. Although rare, they may postpone full recovery when these complications arise.

From osteolysis: The bone next to the elbow implant may break down due to the reaction of your body to particles that may be triggered by:

  • Direct interaction between components made of metal and plastic
  • Communication between the constituents of the elbow and the bone cement
  • The connection between both the components of the elbow and the natural bone fragments between the moving parts of the elbow, which can cause further debris or harm to the components of the implant
  • Fracture of the Implant

After complete elbow replacement, implant fracture was confirmed. Usually, this is induced by

  • Patients with standards of extreme results
  • Physically energetic patients
  • It is necessary to follow medical guidance and to avoid unnecessary or improper activity to reduce the risk of implant break.

Other threats

  • At some future point, removal replacement of the device system or its elements might be required.
  • Metal-allergy reactions from elbow implants, although rare, have been documented. Inform your doctor if you have any signs of allergies.
  • Due to improper placement of the implant components, premature failure will result.
  • Due to improper cementing or shock from falls or collisions, implant components may loosen or shift.
  • Blood clots, low blood pressure, heart attack, and, in rare cases, death are cardiovascular conditions associated with bone cement.
  • It can cause nerve, muscle, or bone injuries.

Elbow Replacement Surgery Cost in India

  • One can easily find low-cost Elbow Replacement Surgery in India as compared to other western countries.
  • Along with quality services and satisfaction for knee arthroplasty at affordable prices, most international patients prefer India.
  • The Elbow Replacement Surgery costs range from $4,000 to $7,000. It depends upon the complexity of the treatment and services facilities from the hospital.

Get details of the Elbow Replacement Surgery hospitals in India that offer higher success rates at affordable cost. The cost of Elbow Replacement Surgery varies widely. For Elbow Replacement Surgery, it is necessary to choose the proper specialist in India. HMSDESK helps patients seeking medical care and specialty treatments from the top Orthopedic Surgeon in India. Various hospitals and clinics in India have gained massive popularity all over the world. International patients preferred places for the surgery or treatment would be tier one, in developed cities like Bangalore, Chennai, Hyderabad, Kolkata, Mumbai, Delhi, Mangalore, Kochi, Jaipur, and Pune.

Elbow Replacement Surgery in India
Elbow Replacement Surgery Cost in India

Frequently Asked Questions about Elbow Replacement Surgery Treatment

Who performs elbow replacement?

The elbow replacement is carried out by orthopedic surgeons and hand surgeons. Orthopedic surgeons are specialized in the treatment of bone and joint problems. They execute surgery and recommend other therapies. Arm specialists are orthopedic or plastic surgeons who specialize in hand, wrist, forearm, and elbow surgery.

What is elbow replacement surgery?

The human elbow comprises three types of bones:

  • The upper arm bone is known as Humerus.
  • The forearm bone on the finger side is known as Ulna.
  • The forearm bone on the thumb side is known as Radius.

When these parts of an elbow (Humerus and Ulna) get damaged, they are removed and replaced with artificial components made of metals and hard plastic. This complete process of removal and replacement is known as Elbow replacement surgery.

When it's needed?

When a single elbow gets hurt, rheumatoid arthritis and traumatic fractures occur. In certain situations, the damage caused can be surgically healed. But the medical team may suggest elbow replacement surgery mainly due to extreme pain with extensive damage.

Elbow replacement surgery is mostly recommended in case of Osteoarthritis, Post-traumatic Arthritis, and Instability due to ligament damage.

What are the types of treatment?

Total removal of the elbow: The elbow joint and portions of the upper arm and forearm are replaced by a prosthetic hinge implant by the doctor.

Partial elbow replacement: Only the damaged portion of the joint is removed by your surgeon and replaced with a prosthesis, retaining much of the bone in the upper forearm.

Total Elbow Replacement Revision: Elbow implants can last for up to 20 years. When the surgeon substitutes loosened prosthetic replacements with fresh ones, revision surgery happens.

How fast recoveries happen after replacement surgery?

After the operation, your elbow region can feel warm and tender for 2 to 4 weeks. During this time, the swelling should go down. You will have a gentle splint on your forearm for the first week after surgery to keep your elbow in place. You will need to use a splint or brace have to hinge after the incision has healed.

Several doses of antibiotics are administered to you by your medical team to avoid infection. The day after surgery, most people can eat solid food and get out of bed. After the surgery, you would most likely stay in the hospital for 2 to 4 days.

What will be the cost of treatment in India?

Various countries offer varying elbow replacement rates. In India, complete elbow replacement surgery in India costs approximately USD 6000-7500. For patients who do not require a full elbow replacement, partial surgery can also opt. In India, partial elbow surgically reconstructed costs approximately 5000-6500 USD.

Why consider India for Elbow Replacement Surgery Treatment?

India is promising as one of the favorite destinations for Elbow Replacement Surgery tourism in the world due to its affordability, accessibility, and much cheaper rates.

For Surgery Some Countries From Which Patients Travel To India:

  • USA
  • New Zealand
  • Nigeria
  • Kenya
  • Zimambe
  • UK
  • Ethiopia
  • Cuba
  • Uganda
  • Tanzania
  • Canada
  • Zambia
  • Congo
  • Sri Lanka
  • Bangladesh
  • Australia
  • Sudan
  • Maldives
  • Afghanistan
  • Uzbekistan

Best Orthopedic Hospitals in India

Hospitals in India offer State-of-the-art equipment and the latest technologies.

  • Fortis Hospital
  • Blk Super Speciality Hospital
  • Sir Ganga Ram Hospital
  • Saifee Hospital
  • Jaslok Hospital
  • Global Hospital
  • Medanta Medicity Hospital
  • HCG Hospital
  • SIMS Hospital, Chennai
  • MIOT Hospital, Chennai
  • Artemis Hospital
  • Wockhardt Hospitals
  • Hosmat Hospital, Bangalore
  • Max Super Speciality Hospital
  • Bgs Gleneagles Global Hospital
  • Nanavati Super Speciality Hospital
  • Manipal Hospital
  • Apollo Hospital
  • S L Raheja Fortis Hospital
  • Asian Heart Hospital
  • Hiranandani Hospital
  • Moolchand Medcity, Delhi
  • Narayana Hrudyalaya
  • Sakra World Hospital
  • BLK Super Speciality Hospital
  • Yashoda Cancer Institute, Hyderabad
  • Sahyadri Hospitals, Pune

List of Top Orthopedic Surgeons in India

  • Dr. Arvind G Kulkarni
  • Dr. Ashok Rajgopal
  • Dr. Rakesh Mahajan
  • Dr. IPS Oberoi
  • Dr. Pradeep Sharma
  • Dr. Gyan Sagar Tucker
  • Dr. Vikram I Shah
  • Dr. B K Singh
  • Dr. Dhananjay Gupta
  • Dr. Uma Chandran S
  • Dr. Rakesh Rajput
  • Dr. Vivek Mittal
  • Dr. Vikram Shah
  • Dr. Bharat Mody
  • Dr. Atul R Bhaskar
  • Dr. Vinod Agarwal
  • Dr. D.D. Tanna
  • Dr. Pradumna S Mamtora
  • Dr. Anant Joshi
  • Dr. Sanjay Agarwala
  • Dr. Niraj Vora
  • Dr. Sanjay Desai
  • Dr. Shreedhar Archik
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