Elbow arthrodesis refers to the surgical fusion of the elbow joint. In this surgical procedure, elbow mobility is eliminated, and the joint is rendered completely immobile at a specific angle. The goal of the surgery is to improve the patient’s quality of life by creating a durable and painless arm position.
Arthrodesis (surgical fusion) is generally a procedure used as a last resort. It may be preferred in the following situations:
In the surgery, the humerus (upper arm bone) and the ulna (a forearm bone) are fixed to each other at a specific angle using special plates and screws. Typically, a flexion (bending) angle of 90–110 degrees is targeted; this allows the patient to wash their face, eat, and perform basic daily functions. Elbow movement is eliminated, but hand and shoulder functions are preserved.
Surgery Duration: Approximately 90–120 minutes
Anesthesia Type: General anesthesia
Surgical Method: Fixation with a plate-and-screw system via open surgery
First day: 4–5
First week: 3–4
After the 2nd week: 1–2
Hospital Stay Duration: A hospital stay of 1–2 days is generally required.
First 3–4 weeks: The arm is protected with a fixed atel (splint) or bandage.
6th week: Bone fusion (healing) is monitored, and X-ray check-ups are performed.
8th–12th week: Fixation is complete, and functional use of the arm is achieved.
3rd–6th month: Full recovery and complete bone fusion are achieved.
First dressing change: 2nd day
Wound site check: 1st week
Suture removal (if necessary): 10th day
Yes. After arthrodesis, the elbow is completely fixed (immobilized). However, thanks to the fixation angle, most daily life functions can be maintained.
Usually, a flexed (bent) position between 90–110 degrees is preferred. The physician determines the position by considering the patient's dominant arm and individual needs.
In some cases, there may be advanced bone or tissue loss, a history of infection, or recurrent failed surgeries that make a prosthesis implantation impossible. In such situations, arthrodesis (surgical fusion) is a permanent and safe solution.
Yes. Thanks to hand and shoulder movements, most patients can continue their daily lives despite the fused elbow. However, the simultaneous use of both hands will be limited.
Since there will be no elbow movement after arthrodesis, a specific physical therapy program for the elbow is not required. However, exercises are recommended to preserve hand and shoulder function.
