|wHAT TO eXPECT aFTER sURGERY
SHOULDER HEMIARTHROPLASTY OR TOTAL SHOULDER ARTHROPLASTY
Indications: Osteoarthritis of the shoulder joint.
For complete Mayo Clinic Protocol: click here
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.
||7 days, or cover incision with waterproof tape. Pad area dry after shower
|Time in sling:
|Range of motion returns:
|Return to full activities:
||week 2 after surgery
- Usually achieve 30º External Rotation; functional result may depend on the status of Rotator Cuff
- Wear sling at all times except while performing exercises
- Post Operative Day 1
- Begin active assisted shoulder forward flexion
- Limit External Rotation to 30º
- Limit extension to neutral
- Pendulum exercises
- Elbow Active Range Of Motion (ROM), wrist Active ROM, hand Active ROM
- 0-4 weeks Post Operative:
- Active Assisted ROM while limiting External Rotation to 30º (to protect subscapularis repair)
- Active Assisted Forward Flexion supine
- Active Assisted External Rotation to 30º supine with other hand
- 4 weeks Post Operative:
- progress to Active ROM
- gentle hands behind back
- 6-8 weeks Post Operative (usually doing well by 6 weeks)
- Maximum lift ~ 25 lbs.
- Expect improvement up to 2 years post-op