This document outlines the pre-operative, operative, and post-operative procedures and protocols for elbow replacement surgery. It presents two case studies of patients who underwent elbow replacement surgery following injuries. Both patients regained good range of motion in their elbows after surgery and follow up appointments showed the prostheses were functioning well. X-rays were taken at various intervals to monitor healing and prosthesis placement.

1. DR. PRASHANT RAI
2nd
YEAR PGT
CNMC&H

2. PRE OPERATIVE
INVESTIGATION
TC,DC,ESR,HB%
SUGAR,UREA,CREATININE
BT,CT
ECG,CHEST X RAY
X RAY OF NORMAL SIDE(100%
MAGNIFICATION)ELBOW FOR CUSTOM MADE
PROSTHESIS

3. OPERATIVE TECHNIQE
INCISION
Lateral skin incisi0n
We used Kocher approach
Direct lateral approach

4. INTRAOPERATIVE IMAGE

5. POST OF PROTOCOL
Stitch removal at two weeks
Post operative AEPOP slab removed at 3 weeks
Elbow movements started at 3 weeks
Normal day to day activity resumed at 8 weeks

6. CASE 1
A 28 yr old female patient with h/o fall from bicycle
on outstretched right hand following injury patient
presented with pain and swelling and restriction of
movement of right elbow.

7. X-RAY

8. POSTOPERATIVE FOLLOW UP X
RAY
AFTER 2 MONTH AFTER 1 YEAR

9. RANGE OF MOTION AFTER 1
YEAR
FLEXION EXTENSION

10. RANGE OF MOTION AFTER 1
YEAR
SUPINATION PRONATION

11. SKIAGRAM AT 2 AND HALF YEAR
FOLLOW UP

12. RANGE OF MOTION AFTER 2
AND HALF YEAR
FLEXION EXTENSION

13. RANGE OF MOTION AFTER 2
AND HALF YEAR
PRONATION SUPINATION

14. CASE 2
HISTORY- 35 years old female patient h/o fall on
outstretched right hand one and half year back.
Following injury patient presented with swelling in
her right elbow.

15. X-RAY

17. POST OPERATIVE X-RAY

18. FOLLOW UP X-RAY

19. FLEXION EXTENSION

20. SUPINATION PRONATION