Turn off your heating system at the thermostat inside your home. Remove the floor register from the top of the heat duct by lifting it off. Some floor registers screw to the floor; use a screwdriver to remove the screws holding the register to the floor. Then lift it off of the duct.
Pull out the nails holding the elbow boot in place against the subfloor using the claw end of a hammer. Push the elbow vent free from its connection with the subfloor into the basement or crawl space under your home.
Access the basement or crawl space of your home and locate the branch duct with the loose elbow vent. Disconnect the round end of the elbow boot from the branch duct by pulling it off. Attach the round end of the new elbow boot to the duct. Push the top edge of the open rectangular end of the boot up through the subfloor.
Align the top edge of the new elbow boot so it is flush with the subfloor between the flooring joists. Press all four sides of the boot firmly against the flooring supports. Hammer ring-shank nails through each side of the duct and into the subfloor and joists.
Line up a new adjustable floor register over the hole in the subfloor and push it straight down to fit snugly against the sides of the duct. Use the lever on the side of the vent to direct the airflow away from the wall and into the center of the room.