The elbow is a hinge joint with a nerve running through it that most people don't think about until it stops working. Dr. Graham treats the full elbow spectrum — from cubital tunnel nerve compression to complex fracture reconstruction to elbow replacement. He is the #1 elbow arthroplasty volume surgeon in Northeast Florida, performing linked and unlinked replacements and accepting revision cases.
Distal biceps ruptures have a narrow 2–4 week repair window. If you felt a pop at the front of your elbow during a lift, call the same day.
Elbow Surgery in Jacksonville Beach
The elbow is not a simple hinge. Three bones articulate within a single joint capsule. The ulnar nerve — responsible for sensation in the ring and small fingers and for the intrinsic muscle strength that allows fine hand function — wraps directly around the medial epicondyle and is vulnerable to compression at this level in a way that the median nerve at the carpal tunnel is not. The distal biceps attaches to the radius just past the joint, and when it ruptures, the clock starts immediately.
At the other end of the elbow spectrum, total elbow arthroplasty is among the most technically demanding joint replacement procedures in orthopedic surgery — complex implant systems, thin bone stock, a significant permanent activity restriction, and a revision rate that rewards volume. Dr. Graham is the highest-volume elbow arthroplasty surgeon in Northeast Florida, performing linked and unlinked replacements and accepting revision cases that require experience to manage.
Between these poles — nerve compression, tendon rupture, fractures, arthritis, and stiffness — the elbow presents a full spectrum of surgical problems. Each requires an understanding of the anatomy and the willingness to match the approach to what the specific patient and injury actually require.
Felt a pop at the front of the elbow during a lift? The repair window is 2–4 weeks. Call now — every day of delay narrows the options.
Deformity, inability to move the elbow, or visible displacement after a fall — go to the emergency department, then follow up with Dr. Graham for definitive management.
Confirmed nerve compression on NCS/EMG warrants a surgical conversation even with mild symptoms — permanent deficits are possible at any stage.
Lateral or medial epicondylitis that hasn't responded to rest, physical therapy, or injections — a scheduled evaluation to discuss next steps.
Chronic pain, stiffness, and loss of function that conservative care has not addressed — evaluation for arthroplasty or other surgical options.
Conditions Treated
Every elbow condition Dr. Graham treats — from the most common nerve compression to complex arthroplasty. All complexity levels accepted.
Why This Practice for Your Elbow
The distinguishing features of Dr. Graham's elbow practice — from nerve surgery to reconstruction.
Dr. Graham's preferred technique for cubital tunnel is in-situ decompression — releasing the nerve at the elbow without transposing it. This avoids the additional dissection, scarring, and recovery of transposition, and produces excellent results for the majority of patients. Subcutaneous transposition is reserved for revision cases or an anatomically unstable nerve. The procedure is done in the OR, not in the office.
The repair window for a distal biceps rupture is 2–4 weeks. Beyond 6 weeks, tendon retraction makes primary repair significantly more complex, often requiring allograft reconstruction. Dr. Graham performs single-incision cortical button fixation — the strongest contemporary technique — and accepts delayed presentations as well as acute cases. If you felt that pop, call the same day.
Total elbow replacement is technically demanding, carries a permanent 5-pound repetitive / 10-pound single-effort lifting restriction, and has a revision rate that is meaningfully affected by surgeon volume and experience. Dr. Graham is the highest-volume total elbow arthroplasty surgeon in Northeast Florida, performing linked and unlinked implants and accepting revision cases from across the region.
Not all elbow replacements use the same implant type. A linked (constrained, semiconstrained) prosthesis provides stability when ligaments are deficient — common in post-traumatic cases and severe rheumatoid disease. An unlinked implant relies on the patient's own soft tissue for stability and may be appropriate when ligamentous integrity is preserved. Dr. Graham selects between them based on what the individual elbow requires.
Cubital tunnel nerve deficits can become permanent if left too long. In Dr. Graham's experience, the conversation about surgery should happen as soon as nerve conduction studies confirm compression — even with mild symptoms — because waiting for the deficit to worsen before intervening is a strategy that costs patients function they may never fully recover.
Failed cubital tunnel decompression, loose or failed elbow implants, elbow stiffness after prior surgery, and complex post-traumatic reconstruction are all within scope here. Revision elbow surgery requires understanding what was done before, why it failed, and what the anatomy looks like now. These cases are treated with the same thoroughness as any primary procedure.
"Roy Williams said if there were 10 stars available he would give Dr. Graham 10. Complex forearm surgery involving a bone graft — the outcome exceeded every expectation."
Roy Williams · Complex Forearm Surgery Patient · Verified Google Review ★ 5/5
Common Questions