Radial head replacement is a surgical procedure performed to restore stability and movement to the elbow after a complex fracture or damage to the radial head. When the bone is too severely fractured to repair with screws or plates, the damaged portion is removed and replaced with a small artificial implant. This prosthetic helps maintain joint function, reduce pain, and allow the elbow to move more naturally. In some cases, surrounding ligaments that support the elbow are also repaired during surgery.

Radial Head Replacement

Following surgery, you will be referred for post operative physiotherapy. You may initially have a plaster back-slab or sling to protect the joint, especially if ligament repairs were required. Keeping the wound dry and avoiding unnecessary strain on the arm is essential during the early healing phase. Patients are advised to protect the elbow by limiting lifting to “a cup of tea” weight for the first six weeks.

Physiotherapy is a key part of recovery and is tailored to each patient’s injury and also your particular surgeon’s opinion. Most commonly, gentle range of movement exercises are introduced early to prevent joint stiffness. As strength improves, patients gradually increase activity levels under the guidance of their physiotherapist. Most people can expect to regain functional movement and return to light activities within three months, though full recovery may take up to six months.

With careful post-operative care, physiotherapy, and regular follow-up appointments, most patients achieve excellent outcomes.