Cheers for the reply

8 months from last surgery and have been reviewed idependently and told I need my ulna shortening as still impacting on wrist badly

Prognosis appears to be degeneration of articular surfaces, and loosening of radial head implant and generally pain and discomfort for the rest of my life

I'm amazed there is no apparent physio that could help in any way to at least reduce the degeneration of the elbow and wrist

The problem is I've yet to come across a physio who has dealt with this. My google fu is week on this one