PATIENT INFO

GENERAL INFORMATION
 
HIPS
 
KNEES
 
OSTEOARTHRITIS
 
SHOULDERS
 
ELBOW SURGERY
 
VISCOSUPPLEMENTATION

 

Bankhart repair

wHAT TO eXPECT aFTER sURGERY

Indications: For recurrent instability of the shoulder.
Procedure: Tightening or reattachment of the anterior humeral capsule to the glenoid.

pOST-oPERATIVE cARE

Instructions to PatientS:

EQUAL ICING AND REST/WORK RATIO IS IMPORTANT. PAIN SHOULD NOT OCCUR WITH ANY ACTIVITY, COME ON SOONER, DURING ACTIVITY OR REHAB, OR LAST LONGER AFTER REHAB. IF THIS OCCURS, MODIFICATION OR RE-EVALUATION NEEDS TO BE UNDERTAKEN.

The arm rests in a sling with the elbow at the side and a strap around the trunk to prevent shoulder extension when supine. When in bed, the elbow may be supported by a small pillow.

Shower: 7 days, or cover incision with waterproof tape. Pad area dry after shower
Time in sling: 4-6 weeks
Range of motion returns: 10-12 weeks
Return to full activities: 3-4 months
Initiate physiotherapy: Your surgeon will instruct you.

Motion allowed:

  1. The trunk strap may be adjusted.
  2. Elbow may be elevated from bed when patient is supine using a small pillow.
  3. Arm may be removed from sling and allowed to dangle passively at side to relieve cramping. Small circular motions (the size of a pie plate) may be performed as tolerated.

Motion to avoid:

  1. External rotation of the shoulder until 3 weeks post-operatively.
  2. DO NOT attempt to pick up heavy objects with the operative hand as you may damage the repair.
rEHABILITATION pROTOCOL

Instructions to Physiotherapists:

EQUAL ICING AND REST/WORK RATIO IS IMPORTANT. PAIN SHOULD NOT OCCUR WITH ANY ACTIVITY, COME ON SOONER, DURING ACTIVITY OR REHAB, OR LAST LONGER AFTER REHAB. IF THIS OCCURS, MODIFICATION OR RE-EVALUATION NEEDS TO BE UNDERTAKEN.

LEVEL I
(week 0-2)
Shoulder immobilizer is worn for comfort, removed for dressing, etc. The arm may be released as frequently as desired to dangle at side and perform pendulum exercises, but the sling is refastened afterwards. The wound must be kept dry for 7-10 days.
LEVEL II
(week 2-5)
The sling is now discarded. Active-assisted range of motion is begun. Continue passive ROM. Active assisted ROM is begun. Please instruct patient on how to perform these.Elevation to 120o; ER (at side) to 45o; ER (in abduction) to 45o; and IR (at side) to about L1.
LEVEL III
(week 5-8)
Gentle stretching in all directions to restore full range of forward elevation, for further range. ER (in abduction) not beyond 90o. Isotonic strengthening of all groups can be added.
LEVEL IV
(week 8-12)
Vigorous stretching is undertaken as well as further strengthening. Labourers can usually return at 8-10 weeks but contact sports are not allowed until 4 months post-op.